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Individual

DR. CHARLES KEITH FUJISAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16259 SYLVESTER RD SW, SUITE 501, BURIEN, WA 98166-3049
(206) 243-1100
(206) 431-0835
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD60174702
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
29370
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0270452
LABOR & INDUSTRIES
WA
01
104267500
FEDERAL WORKMAN'S COMP
CO
05
1043285893
WA
01
192640139
US DEPT OF LABOR - OWCP
WA
05
20872771
CO
01
4213838
AETNA
CO
01
900064263002
ROCKY MOUNTAIN HMO
CO
01
90006426301
PACIFICARE
CO
01
FUA29319
BLUE CROSS BLUE SHIELD
CO
01
P00049979
RAIL ROAD MEDICARE
CO
01
P00952912
RAILROAD MEDICARE
WA
Enumeration date
02/22/2006
Last updated
11/16/2011
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