Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD00029057 | WA |
NPI | 1003839028 |
---|---|
Provider Name | Joseph W Doucette |
First Address | Seattle, WA 98124-8488 |
Second Address | Bellevue, WA 98004-4623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 13/11/2007 |