Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD00046175 | WA |
NPI | 1346334489 |
---|---|
Provider Name | Harold Frank Andersen |
First Address | Everett, WA 98201-1665 |
Second Address | Everett, WA 98201-4168 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 15/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8450371 | (05) | WA |
A79672 | (02) | WA |