Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | R9E71 | MO |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 2474 | OK |
N | 208D00000X | General Practice Physician | G8392 | TX |
NPI | 1871915595 |
---|---|
Provider Name | Violet D Saint John |
First Address | Issaquah, WA 98027 |
Second Address | Issaquah, WA 98027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2014 |
Last Update Date | 15/01/2014 |