Individual
EDWARD R FAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 S UNION AVE, SUITE 8, TACOMA, WA 98405-1954
(253) 759-3333
(253) 759-1415
Mailing address
8815 71ST ST NW, GIG HARBOR, WA 98335-6279
(253) 238-8041
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00030091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163331
LABOR AND INDUSTRIES
WA
05
—
8155137
—
WA
Enumeration date
02/21/2006
Last updated
06/21/2008
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