Dr. Darrell Jonathan Fader
MOHS-Micrographic Surgeon
1801 Nw Market St Suite 107
Seattle
, Washington 98107-3987
Dr. Darrell Jonathan Fader
MOHS-Micrographic Surgeon
1801 Nw Market St Suite 107
Seattle
, Washington 98107-3987
(206) 789-2261
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Darrell Jonathan Fader
- 1801 Nw Market St Suite 107
- Seattle, WA
- Zip : 98107-3987
- Fax : (206) 789-2261
- Phone : (206) 789-1177
Second Address
- Dr. Darrell Jonathan Fader
- 1801 Nw Market St Suite 107
- Seattle, WA
- Zip : 98107-3987
- Fax : (206) 789-2261
- Phone : (206) 789-1177
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | MD00039305 | WA |
National Provider Identifier
| NPI | 1386688380 |
|---|---|
| Provider Name | Dr. Darrell Jonathan Fader |
| First Address | Seattle, WA 98107-3987 |
| Second Address | Seattle, WA 98107-3987 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/06/2006 |
| Last Update Date | 25/02/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.