Doctor Name: | CHRISTOPHER PHILIP NYTE |
NPI Number: | 1043324130 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | OP00001936 |
Business Practice Address: | 27539 Maple Valley Black Diamond Rd Se Suite D101 Maple Valley, WA - 980385155 |
Business Phone Number: | 4254136517 |
Business Fax Number: | 4254130218 |
Mailing Address: | 27539 Maple Valley Black Diamond Rd Se, Suited101 MAPLE VALLEY |
State: | WA |
Postal Code: | 980385155 |
Phone Number: | 4254136517 |
Fax Number: | 4254130218 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 07/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | OP00001936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |