Individual
PAUL D BUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00043188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0182473
LABOR & INDUSTRIES
WA
05
—
8396616
—
WA
01
—
9090BU
REGENCE PROVIDER #
WA
01
—
P00144420
RAILROAD MEDICARE
—
Enumeration date
08/29/2006
Last updated
05/18/2021
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