Individual
TIMOTHY P FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1110
Mailing address
3706 48TH STREET CT, GIG HARBOR, WA 98335-8606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA263050
ME
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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