Individual
CHARLES ANTHONY FEDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
8806 38TH AVE SW, SEATTLE, WA 98126-3619
(206) 650-8558
Mailing address
8806 38TH AVE SW, SEATTLE, WA 98126-3619
(206) 650-8558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 00022810
WA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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