Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD00023541 | WA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD00023541 | WA |
NPI | 1205869187 |
---|---|
Provider Name | John A Read |
First Address | Tacoma, WA 98405-5307 |
Second Address | Tacoma, WA 98405-5307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 02/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0214671 | STATE L&I (01) | WA |
0273461 | STATE L&I (01) | WA |
F58627 | (02) | WA |