Individual
NATHAN LEE FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, TACOMA, WA 98431-0001
(253) 968-3121
Mailing address
525 FOOTE ST SW, OLYMPIA, WA 98502-5429
(708) 220-1958
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
MD 60143548
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 60143548
WASHINGTON STATE LICENSE NUMBER
WA
Enumeration date
12/04/2006
Last updated
06/20/2013
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