Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A106581 | CA |
N | 111NI0900X | Internist | A106581 | CA |
Y | 207RH0000X | Hematologist | MD.MD.60591746 | WA |
N | 207RH0003X | Hematology & Oncology | A106581 | CA |
NPI | 1225278955 |
---|---|
Provider Name | Mary-Elizabeth Muchmore Percival |
First Address | Seattle, WA 98109-1023 |
Second Address | Seattle, WA 98109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2009 |
Last Update Date | 29/10/2015 |