Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD00030427 | WA |
NPI | 1366538084 |
---|---|
Provider Name | Howard G Muntz |
First Address | Seattle, WA 98133-8414 |
Second Address | Seattle, WA 98133-8414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 10/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0039592 | LABOR AND INDUSTRIES (01) | WA |
160046803 | RAILROAD MC# (01) | WA |
8149742 | (05) | WA |
B76449 | (02) | WA |
MU5661 | BLUE SHIELD # (01) | WA |
US0862052 | AETNA SPECIALIST NUMBER (01) | WA |