Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD61090725 | WA |
Y | 207VE0102X | Reproductive Endocrinologist | MD61090725 | WA |
NPI | 1285624981 |
---|---|
Provider Name | Ginny L Ryan Buresh |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 25/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1285624981 | (05) | WA |
I34355 | (02) |