CURTIS M FANTA

SEATTLE, WA
NPI1164940680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60942523)
Enumeration Date2017-09-05
Last Update Date2022-07-21
Business Address
CURTIS M FANTA
4311 11TH AVE NE STE 200
SEATTLE, WA 98105-6367
Phone number: 206-616-4001
Mailing Address
CURTIS M FANTA
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-520-5000
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