Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD00015304 | WA |
N | 207ND0900X | Dermatopathologist | MD00015304 | WA |
N | 207NS0135X | Procedural Dermatology | MD00015304 | WA |
NPI | 1578512075 |
---|---|
Provider Name | Mr. Frank J Baron |
First Address | Bothell, WA 98021-9385 |
Second Address | Mercer Island, WA 98040-5249 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 20/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043561 | (05) | WA |
A06426 | (02) | WA |