Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OP00001051 | WA |
NPI | 1760569701 |
---|---|
Provider Name | Palmer P Wright |
First Address | Yakima, WA 98902-2715 |
Second Address | Yakima, WA 98902-4882 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 29/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1002831 | (05) | WA |
D33736 | (02) | WA |