Provider Demographics
NPI:1740713627
Name:WARFIELD, ANTHONY (EMT)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:WARFIELD
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 REPUBLICAN ST
Mailing Address - Street 2:#404
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4745
Mailing Address - Country:US
Mailing Address - Phone:503-547-3400
Mailing Address - Fax:
Practice Address - Street 1:120 REPUBLICAN ST
Practice Address - Street 2:#404
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4745
Practice Address - Country:US
Practice Address - Phone:503-547-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAES60431268207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services