Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | MD00014005 | WA |
NPI | 1043241383 |
---|---|
Provider Name | Terrence D. Truhler |
First Address | Yakima, WA 98908-3345 |
Second Address | Yakima, WA 98908-3345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
33519 | (02) | WA |