Provider Demographics
NPI:1346552049
Name:DAMPIER, BOBBY (RPSGT)
Entity Type:Individual
Prefix:
First Name:BOBBY
Middle Name:
Last Name:DAMPIER
Suffix:
Gender:M
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14556 20TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-7327
Mailing Address - Country:US
Mailing Address - Phone:206-384-7913
Mailing Address - Fax:
Practice Address - Street 1:14556 20TH AVE NE
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-7327
Practice Address - Country:US
Practice Address - Phone:206-384-7913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other