Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD00027214 | WA |
N | 207YS0123X | Facial Plastic Surgeon | MD00027214 | WA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD00027214 | WA |
NPI | 1891721635 |
---|---|
Provider Name | Preston Andrew Rice |
First Address | Silverdale, WA 98383-8502 |
Second Address | Silverdale, WA 98383-7681 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 08/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040002989 | RAILROAD MEDICARE (01) | |
4510963 | AETNA (01) | |
75445 | LABOR & INDUSTRIES (01) | WA |
8117863 | (05) | WA |
8913531 | CRIME VICTIM COMP (01) | WA |
BR0274922 | DEA (01) | |
E72429 | (02) | |
RI6563 | REGENCE BLUESHIELD (01) |