Doctor Name: | NATHAN O. TOWN |
NPI Number: | 1225183304 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MT(ASCP) |
License Number: | |
Business Practice Address: | 401 Buster Rd. Toppenish, WA - 98948 |
Business Phone Number: | 5098651704 |
Business Fax Number: | |
Mailing Address: | 2904 S 37th Ave, YAKIMA |
State: | WA |
Postal Code: | 989039564 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246QM0706X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Pathology |
Taxonomy Specialization: | Medical Technologist |
Taxonomy Definition: |