Doctor Name: | JOHN CLEMETT |
NPI Number: | 1023082732 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD00031112 |
Business Practice Address: | 1417 116th Ave Ne Suite 212 Bellevue, WA - 980043821 |
Business Phone Number: | 4254674053 |
Business Fax Number: | 8005037224 |
Mailing Address: | Po Box 24226, SEATTLE |
State: | WA |
Postal Code: | 981240226 |
Phone Number: | 8775561057 |
Fax Number: | 8005084751 |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD00031112 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |