Individual
BRANDON FETTEROLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 FITZSIMMONS DR, TACOMA, WA 98431
(989) 859-3260
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 FITZSIMMONS DR, TACOMA, WA 98431
(989) 859-3260
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2017-01929
NC
Other
Enumeration date
03/22/2013
Last updated
03/07/2018
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