Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | MD60589263 | WA |
N | 207PP0204X | Pediatric Emergency Physician | MD60589263 | WA |
N | 208000000X | Pediatrician | 2010012757 | MO |
N | 208000000X | Pediatrician | 94-07430 | KS |
N | 208000000X | Pediatrician | MD60589263 | WA |
N | 2080P0204X | Pediatric Emergency Doctor | D0076097 | MD |
Y | 2080P0204X | Pediatric Emergency Doctor | MD60589263 | WA |
NPI | 1649406828 |
---|---|
Provider Name | James Ming Wu |
First Address | Tacoma, WA 98405-4234 |
Second Address | Tacoma, WA 98405-4234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2009 |
Last Update Date | 21/10/2015 |