Individual
DANIEL PERRY FOSMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD00037143
WA
2084N0400X
Neurology Physician
Primary
MD0037143
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0182685
L & I WORKERS COMP
WA
01
—
1223348 08
UNITED HEALTHCARE
WA
01
—
21171261225
UNIFORM MEDICAL PLAN
WA
01
—
4491936
AETNA
WA
01
—
5368FO
REGENCE BLUESHIELD
WA
01
—
770614555
TRIWEST
WA
05
—
8238685
—
WA
01
—
8930609
L & I CRIME VICTIMS
WA
Enumeration date
07/13/2006
Last updated
12/03/2010
Update your record
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