Individual
BARBARA JANE DISTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
MD00036416
WA
2084N0400X
Neurology Physician
Primary
MD00036416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942385745
—
WA
01
—
282380
INTERNAL ID-MOTOR VEHICLE ID
—
01
—
L&I
0230987
WA
Enumeration date
10/27/2006
Last updated
09/25/2014
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