Individual
JOHN DAVID PIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12005 MERIDIAN E STE 101, PUYALLUP, WA 98373-3423
(253) 215-1095
(253) 215-1096
Mailing address
12005 MERIDIAN E STE 101, PUYALLUP, WA 98373-3423
(253) 215-1095
(253) 215-1096
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00044826
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01161940
RAILROAD MEDICARE
WA
01
—
0290459
WA STATE L&I
WA
05
—
1000510
—
WA
01
—
H11724
UPIN
WA
Enumeration date
07/31/2006
Last updated
11/12/2020
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