Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD00030116 | WA |
N | 111NI0900X | Internist | MD00030116 | WA |
Y | 207SG0201X | Clinical Genetics (M.D.) | MD00030116 | WA |
NPI | 1013007970 |
---|---|
Provider Name | Marshall Scott Horwitz |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 14/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013007970 | (05) | WA |
8789 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
G12745 | (02) |