Individual
DR. POLLY T FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 8TH AVE S, SUITE 100, SEATTLE, WA 98104-3032
(206) 788-3731
Mailing address
PO BOX 24911, SEATTLE, WA 98124-0911
(206) 788-3683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00020875
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117FA
REGENCE BLUESHIELD
—
01
—
131143
L&I
WA
01
—
5205085
AETNA
—
05
—
8106056
—
WA
Enumeration date
09/07/2006
Last updated
10/31/2007
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