DR. Ernest Fatta, MD

NPI #1922433515 in Kent, Washington

Provider Information

NPI Number: 1922433515
Entity Type: Individual
Name: DR. Ernest Fatta, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Sep 13, 2013
Last Updated: Sep 13, 2013

Practice Location

Address: 23501 112TH AVE SE
Address 2: M102
City: Kent
State: Washington
ZIP Code: 98031-3409
Phone: (253) 850-7837

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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