Provider Demographics
NPI:1295758290
Name:DARBY, PATRIC J (MD)
Entity type:Individual
Prefix:DR
First Name:PATRIC
Middle Name:J
Last Name:DARBY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:13030 MILITARY RD S
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-3085
Mailing Address - Country:US
Mailing Address - Phone:206-243-5229
Mailing Address - Fax:206-439-7216
Practice Address - Street 1:13030 MILITARY RD S
Practice Address - Street 2:SUITE 202
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-3085
Practice Address - Country:US
Practice Address - Phone:206-243-5229
Practice Address - Fax:206-439-7216
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WAWA364412084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG79760Medicare UPIN