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Individual

SHIE-PON TZUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1135 116TH AVE NE, #560, BELLEVUE, WA 98004
(425) 454-4768
(425) 462-8021
Mailing address
1135 116TH AVE NE, #560, BELLEVUE, WA 98004
(425) 454-4768
(425) 462-8021

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31810
WA
207RG0100X
Gastroenterology Physician
99746
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
145887
L & I
WA
05
8218612
WA
Enumeration date
01/06/2006
Last updated
10/25/2023
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