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Individual

FRED E GOVIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00024585
WA
208800000X
Urology Physician
Primary
MD00024585
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000183704
KING COUNTY MC
WA
01
001252081
SNOHOMISH COUNTY MC
WA
01
0039595
LABOR AND INDUSTRIES #
WA
05
1032069
WA
01
340008895
RAILROAD MC
WA
05
805276000
ID
01
GO7560
BLUE SHIELD #
WA
05
MD245WA
AK
01
US0861551
AETNA SPECIALIST PIN
WA
Enumeration date
01/25/2007
Last updated
06/17/2008
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