FREDERICK D LEIST

BREMERTON, WA
NPI1013044254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: WA  MD00010979)
Enumeration Date2007-02-27
Last Update Date2007-10-12
Business Address
-- FREDERICK D LEIST MD
2600 CHERRY AVENUE SUITE 201
BREMERTON, WA 98310
Phone number: 360-479-4370
Mailing Address
-- FREDERICK D LEIST MD
2600 CHERRY AVENUE SUITE 201
BREMERTON, WA 98310
Phone number: 360-479-4370
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