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Organization
FAN PLLC
Active
Organization
FAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY FAN MD (OWNER)
(206) 412-2702
Entity
Organization
Contact information
Practice address
6165 90TH AVE SE, MERCER ISLAND, WA 98040-4516
(206) 412-2702
Mailing address
6165 90TH AVE SE, MERCER ISLAND, WA 98040-4516
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
07/16/2026
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