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Individual
STANFORD TRAN
Active
Individual
STANFORD TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60995447
WA
207Q00000X
Family Medicine Physician
MD60995447
WA
207QA0401X
Addiction Medicine (Family Medicine) Physician
MD60995447
WA
Other
Enumeration date
07/20/2016
Last updated
11/02/2022
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