Individual
LONG DUC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 MARTIN LUTHER KING JR. WAY, MAILSTOP 315-J1--TRAUMA, TACOMA, WA 98415-0299
(253) 403-4570
Mailing address
85 WINOOSKI FALLS WAY, #313, WINOOSKI, VT 05404-2262
(214) 529-4257
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
MD 60158482
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP2-0019297
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
07/27/2010
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