Provider Demographics
NPI:1104906023
Name:ISBELL, JOHN PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
Last Name:ISBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12303 NE 130TH LN
Mailing Address - Street 2:STE 400
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3099
Mailing Address - Country:US
Mailing Address - Phone:425-899-4692
Mailing Address - Fax:425-899-4693
Practice Address - Street 1:12303 NE 130TH LN
Practice Address - Street 2:STE 400
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3099
Practice Address - Country:US
Practice Address - Phone:425-899-4692
Practice Address - Fax:425-899-4693
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2013-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00025227207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1071174Medicaid
WAA06416Medicare UPIN
WA1071174Medicaid