Individual
GORDON F.F. FALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7715 24TH AVE NW, SEATTLE, WA 98117-4412
(206) 782-1133
(206) 782-1373
Mailing address
7715 24TH AVE NW, SEATTLE, WA 98117-4412
(206) 782-1133
(206) 782-1373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00009179
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1254507
—
WA
Enumeration date
11/14/2005
Last updated
07/09/2007
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