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Individual

ALEXANDER C CHUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4000
(425) 640-4010
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00041276
WA
208M00000X
Hospitalist Physician
Primary
MD00041276
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0194429
LIWA
WA
01
7966CH
BSWA
WA
05
8317133
WA
Enumeration date
06/03/2006
Last updated
09/13/2023
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