| Doctor Name: | KEITH ADRIAN FUJIOKA |
| NPI Number: | 1013193762 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | B.S., R.V.T. |
| License Number: | |
| Business Practice Address: | 11714 N Creek Pkwy N Suite 100 Bothell, WA - 980118250 |
| Business Phone Number: | 4253987777 |
| Business Fax Number: | 4254868976 |
| Mailing Address: | 11714 N Creek Pkwy N, Suite 100 BOTHELL |
| State: | WA |
| Postal Code: | 980118250 |
| Phone Number: | 4253987777 |
| Fax Number: | 4254868976 |
| NPI Enumeration Date: | 01/11/2008 |
| NPI Last Update Date: | 09/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246XC2903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Spec/Tech, Cardiovascular |
| Taxonomy Specialization: | Vascular Specialist |
| Taxonomy Definition: | |