Doctor Name: | DR. DAVID PHIPPS POMEROY |
NPI Number: | 1760701528 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 15957 |
Business Practice Address: | 2000 116th Ave Ne Ste 6 Bellevue, WA - 980043047 |
Business Phone Number: | 4254548684 |
Business Fax Number: | 2063395465 |
Mailing Address: | 2000 116th Ave Ne Ste 6, BELLEVUE |
State: | WA |
Postal Code: | 980043047 |
Phone Number: | 4254548684 |
Fax Number: | 2063395465 |
NPI Enumeration Date: | 05/19/2010 |
NPI Last Update Date: | 05/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15957 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |