Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD00015732 | WA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD00015732 | WA |
NPI | 1205916202 |
---|---|
Provider Name | Zane A Brown |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-6127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 28/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000100650 | (02) | WA |
0230766 | L&I (01) | WA |
1205916202 | (05) | WA |
1352 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
A04155 | (02) |