Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD60779037 | WA |
N | 111NI0900X | Internist | MD60779037 | WA |
Y | 207RX0202X | Medical Oncology | MD60779037 | WA |
NPI | 1073931762 |
---|---|
Provider Name | Joseph Brian Hiatt |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98109-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 08/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1073931762 | (05) | WA |