DR. Jason David Fodeman, MD
NPI #1023341690 in Tumwater, Washington
Provider Information
- NPI Number
- 1023341690
- Entity Type
- Individual
- Name
- DR. Jason David Fodeman, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- MD
- Enumeration Date
- Sep 14, 2009
- Last Updated
- Jan 17, 2020
Practice Location
- Address
- 7273 LINDERSON WAY SW
- City
- Tumwater
- State
- Washington
- ZIP Code
- 98501-5414
- Phone
- (360) 902-5511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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