Fan Pllc

NPI #1891490645 in Mercer Island, Washington

Provider Information

NPI Number: 1891490645
Entity Type: Organization
Organization Name: Fan Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Apr 3, 2023
Last Updated: Apr 3, 2023

Practice Location

Address: 6165 90TH AVE SE
City: Mercer Island
State: Washington
ZIP Code: 98040-4516
Phone: (206) 412-2702

Authorized Official

Name: ANTHONY FAN, MD
Title: OWNER
Phone: (206) 412-2702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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