Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 125065677 | IL |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD60934292 | WA |
NPI | 1033539721 |
---|---|
Provider Name | Matthew Bartindale |
First Address | Edmonds, WA 98026-7918 |
Second Address | Edmonds, WA 98026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2014 |
Last Update Date | 12/07/2019 |