Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 47970 | WA |
NPI | 1164508438 |
---|---|
Provider Name | Joseph T Flynn JR. |
First Address | Seattle, WA 98102-4531 |
Second Address | Seattle, WA 98105-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2006 |
Last Update Date | 13/02/2012 |