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Individual

SCOTT WARREN FETTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-7497
Mailing address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-7497

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60342809
WA
208000000X
Pediatrics Physician
27107
OK
208000000X
Pediatrics Physician
MD60342809
WA
208M00000X
Hospitalist Physician
Primary
MD60342809
WA

Other

Enumeration date
05/26/2009
Last updated
01/29/2026
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