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Individual

FREDERICK W CHENEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
HARBORVIEW MEDICAL CENTER, 325 9TH AVE, SEATTLE, WA 98104
(206) 731-3059
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00008875
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0230859
L&I
WA
05
1114003977
WA
01
1152
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/27/2006
Last updated
10/12/2012
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