Individual
FREDERICK D LEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 CHERRY AVENUE, SUITE 201, BREMERTON, WA 98310
(360) 479-4370
(360) 792-1166
Mailing address
2600 CHERRY AVENUE, SUITE 201, BREMERTON, WA 98310
(360) 479-4370
(360) 792-1166
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD00010979
WA
Other
Enumeration date
02/27/2007
Last updated
10/12/2007
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