Individual
DR. RICHARD ELIOT FAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-1743
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 341-1743
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006023101
MO
207L00000X
Anesthesiology Physician
Primary
MD60219192
WA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
2006023101
MO
2086S0102X
Surgical Critical Care Physician
2006023101
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201473709
—
MO
Enumeration date
08/05/2006
Last updated
02/04/2013
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