Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD00009819 | WA |
NPI | 1053496877 |
---|---|
Provider Name | Peter A Simkin |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6166 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 24/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0231930 | L&I (01) | WA |
1053496877 | (05) | WA |
6339 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
A05630 | (02) |