Individual
DR. DARRELL JONATHAN FADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 NW MARKET ST, SUITE 107, SEATTLE, WA 98107-3987
(206) 789-1177
(206) 789-2261
Mailing address
1801 NW MARKET ST, SUITE 107, SEATTLE, WA 98107-3987
(206) 789-1177
(206) 789-2261
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00039305
WA
Other
Enumeration date
06/16/2006
Last updated
02/25/2011
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