Provider Demographics
NPI:1427169911
Name:HARVEY, DAVID ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:HARVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1323 3RD AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3311
Mailing Address - Country:US
Mailing Address - Phone:206-267-7300
Mailing Address - Fax:206-267-7301
Practice Address - Street 1:4464 FREMONT AVE N
Practice Address - Street 2:SUITE 103
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7273
Practice Address - Country:US
Practice Address - Phone:206-267-7300
Practice Address - Fax:203-626-7730
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2013-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA33357207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8186876Medicaid
WA8186876Medicaid