Individual
FRED S. HERZON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101
(206) 505-1041
Mailing address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101
(206) 505-1041
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00042135
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8438384
—
WA
Enumeration date
12/07/2005
Last updated
07/08/2007
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