Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD00029940 | WA |
NPI | 1013060441 |
---|---|
Provider Name | Greg E Paul |
First Address | Seattle, WA 98104-3538 |
Second Address | Seattle, WA 98104-3538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 15/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1090240 | (05) | WA |
F93221 | (02) |