Gary Fudem in Seattle - Plastic And Reconstructive Surgery
Gary Fudem - NPI 1336123454
Gary Fudem is a Plastic And Reconstructive Surgery in Seattle, Washington. Gary Fudem practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Gary Fudem is 1336123454. The last update date is 2014-12-17.
Gary Fudem's current location address is 325 9th Ave, Seattle, Washington. You can contact this provider via phone number 2067445735. The mailing address for Gary Fudem is 325 9th Ave, Seattle, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Fudem |
|---|---|
| Address | 325 9th Ave, Seattle, Washington |
| Phone Number | 2067445735 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336123454 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2014-12-17 |
Provider Mailing Address Detail
| Address | 325 9th Ave |
|---|---|
| City | Seattle |
| State | Washington (WA) |
| Post Code | 981042420 |
| Phone Number | 2067445735 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | MD60484351 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1336123454 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gary Fudem by the Centers for Medicare & Medicaid Services?
The Gary Fudem has been assigned the NPI (National Provider Identifier) 1336123454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Gary Fudem?
The Gary Fudem is physically situated at 325 9Th Ave, in the city of Seattle, state of WA, with the postal code 981042420.
What is Gary Fudem's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Fudem's specialized field of practice is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0122X.
When did Gary Fudem receive its 1336123454 assignment?
The Gary Fudem was assigned its 1336123454 on 2005-12-01, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Gary Fudem, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary Fudem, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-12-17.
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