Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD00013276 | WA |
Y | 111NI0900X | Internist | MD00013276 | WA |
N | 207RN0300X | Nephrologist | MD00013276 | WA |
NPI | 1013093822 |
---|---|
Provider Name | Richard A Zager |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 23/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7009 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
8103566 | (05) | WA |
A06170 | (02) |