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Organization

RONALD L. FUREDY, MD, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD LINCOLN FUREDY MD (CHAIRMAN OF THE BOARD)
(425) 657-0023
Entity
Organization

Contact information

Practice address
2375 SQUAK MOUNTAIN LOOP SW, ISSAQUAH, WA 98027-4418
(425) 657-0023
(425) 449-5938
Mailing address
2375 SQUAK MOUNTAIN LOOP SW, ISSAQUAH, WA 98027-4418
(425) 657-0023
(425) 449-5938

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00011858
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020977
VALUE OPTIONS
WA
01
200687100000
PREMERA BLUE SHIELD
WA
01
F968
REGENCE BLUE SHIELD
WA
Enumeration date
09/22/2011
Last updated
09/22/2011
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