SearchWashington207R00000X

Jason Fodeman, MD

NPI 1023341690 · on the registry since 2009

Practice

Address
7273 Linderson Way Sw
Tumwater, WA 98501
Phone
(360) 902-5511
Clinicians at this address
3

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington