Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD00030222 | WA |
NPI | 1063557437 |
---|---|
Provider Name | John P Rowland |
First Address | Seattle, WA 98124-1584 |
Second Address | Seattle, WA 98112-5260 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 16/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8145351 | (05) | WA |
F02726 | (02) | WA |