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Organization
DOUGLAS E WRUNG MD PC
Active
Organization
DOUGLAS E WRUNG MD PC
Active
Parent organization
DOUGLAS E WRUNG MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOUGLAS E WRUNG MD
Authorized official
DOUGLAS EDWARD WRUNG MD (PRESIDENT)
(509) 839-4555
Entity
Organization
Contact information
Practice address
720 FRANKLIN AVE, SUNNYSIDE, CA 98944
(509) 839-4555
(509) 839-0189
Mailing address
720 FRANKLIN AVE, SUNNYSIDE, CA 98944
(509) 839-4555
(509) 839-0189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0026187
WA
207VX0000X
Obstetrics Physician
MD0026187
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7097108
—
WA
Enumeration date
05/13/2008
Last updated
05/13/2008
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