Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | MD60672272 | WA |
N | 207RP1001X | Pulmonary Disease | MD451435 | PA |
Y | 207RP1001X | Pulmonary Disease | MD60672272 | WA |
NPI | 1013232560 |
---|---|
Provider Name | Nathan John Parker |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Seattle, WA 98104-2133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2010 |
Last Update Date | 01/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013232560 | (05) | WA |