Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD60139221 | WA |
NPI | 1013073576 |
---|---|
Provider Name | Steven David Crooks |
First Address | Seattle, WA 98006 |
Second Address | Seattle, WA 98006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 15/07/2010 |