Organization Name: | JUDITH RAYL M.D. PH.D. INC., PS |
NPI Number: | 1144435652 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH RAYL (PRESIDENT) |
Mailing Address: | 115 Hall Brothers Loop Nw Suite 105 Bainbridge Island |
State: | WA US |
Postal Code: | 98110 |
Phone Number: | 2067800636 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | MD00038216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |