Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD16984 | OR |
Y | 208600000X | Surgeon | MD16984 | OR |
NPI | 1023067394 |
---|---|
Provider Name | William T. Day |
First Address | Florence, OR 97439-9470 |
Second Address | Florence, OR 97439-9470 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2006 |
Last Update Date | 16/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B64165 | UPIN (01) | OR |
MD16984 | STATE LICENSE (01) | OR |