Frederick D Leist MD INC Ps

NPI #1609068352 in Bremerton, Washington

Provider Information

NPI Number: 1609068352
Entity Type: Organization
Organization Name: Frederick D Leist MD INC Ps
Primary Specialty: Specialist
Enumeration Date: Aug 16, 2007
Last Updated: Oct 11, 2007

Practice Location

Address: 2600 CHERRY AVE
Address 2: SUITE 201
City: Bremerton
State: Washington
ZIP Code: 98310-4213
Phone: (360) 479-4370

Authorized Official

Name: MS. SUZANNE M FLETCHER
Title: PRACTICE ADMINISTRATOR
Phone: (360) 479-4370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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