Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD.MD.61170736 | WA |
NPI | 1003343997 |
---|---|
Provider Name | Joseph Thomas Sofia |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2017 |
Last Update Date | 17/06/2021 |