Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD00014834 | WA |
N | 2080P0208X | Pediatric Infectious Diseases | MD00014834 | WA |
NPI | 1114047750 |
---|---|
Provider Name | Zachary I Miller |
First Address | Seattle, WA 98124-1581 |
Second Address | Seattle, WA 98112-5103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2007 |
Last Update Date | 01/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8371908 | (05) | WA |
E72402 | (02) | WA |