Individual
DR. RONALD LINCOLN FUREDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
—
01
—
200687100000
PREMERA BLUE CROSS
WA
01
—
F968
REGENCE BLUE SHIELD
WA
Enumeration date
01/05/2007
Last updated
01/02/2012
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