Individual
DR. DEBRA SUSAN FETHERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 235-2800
(425) 222-4763
Mailing address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(206) 718-1540
(425) 222-4763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28613
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8130940
—
WA
Enumeration date
12/06/2006
Last updated
10/08/2009
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