Individual
FREDERICK BRYANT DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7319 LATONA AVE NE, SEATTLE, WA 98115
(206) 525-1898
(206) 729-0564
Mailing address
7319 LATONA AVE NE, SEATTLE, WA 98115
(206) 525-1898
(206) 729-0564
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10139
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1204700
—
WA
Enumeration date
09/11/2006
Last updated
07/08/2007
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