Brian L Fox DO

NPI 1073505020 - Family Medicine - 207Q00000X

NPI Details
NPI 1073505020
Gender Male
Enumeration Date 08/16/2005
Last Updated 10/21/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
20120 BALLINGER WAY NE, B
SHORELINE WA, 98155, US
Phone (206) 681-5902
Fax (949) 385-9207
Business Location
20120 BALLINGER WAY NE SUITE B
SHORELINE WA, 98155-1117, US
Phone (206) 858-5059
Fax (360) 267-0417
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 02002911A
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According to our database, Brian L Fox DO NPI is 1073505020, taxonomy code is 207Q00000X and license number is 02002911A, license state is located at Indiana. Brian L Fox DO physically located at 20120 Ballinger Way Ne, B, Shoreline WA, 98155. NPI Number Brian L Fox DO has the Individual type.

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1073505020 NPI number is provided on an as is basis without warranty of any kind. 1073505020 is maintained by the National Plan & Provider Enumeration System. The contents of Brian L Fox DO are for informational purposes only.