Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD60697627 | WA |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD60697627 | WA |
NPI | 1700173424 |
---|---|
Provider Name | Mr. James Imani Dupree |
First Address | Seattle, WA 98145-5095 |
Second Address | Annapolis, MD 21402-1006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2011 |
Last Update Date | 02/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1700173424 | (05) | WA |