Frederick D Leist
Plastic and Reconstructive Surgery
2600 Cherry Avenue Suite 201
Bremerton
, Washington 98310
Frederick D Leist
Plastic and Reconstructive Surgery
2600 Cherry Avenue Suite 201
Bremerton
, Washington 98310
(360) 792-1166
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Frederick D Leist
- 2600 Cherry Avenue Suite 201
- Bremerton, WA
- Zip : 98310
- Fax : (360) 792-1166
- Phone : (360) 479-4370
Second Address
- Frederick D Leist
- 2600 Cherry Avenue Suite 201
- Bremerton, WA
- Zip : 98310
- Fax : (360) 792-1166
- Phone : (360) 479-4370
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | MD00010979 | WA |
National Provider Identifier
| NPI | 1013044254 |
|---|---|
| Provider Name | Frederick D Leist |
| First Address | Bremerton, WA 98310 |
| Second Address | Bremerton, WA 98310 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2007 |
| Last Update Date | 12/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A06955 | (02) |
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.