Individual
MR. DAVID C. HYDE
Active
Individual
MR. DAVID C. HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA0003809
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10003809
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285630822
—
WA
01
—
315417
WVH LNI
WA
01
—
P01301088
RR MEDICARE WVH
WA
Enumeration date
06/27/2005
Last updated
08/15/2019
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