Individual
ERIC BRANDON PONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 MADISON ST, SEATTLE, WA 98104-1306
(253) 363-7493
Mailing address
168 FLORENTIA ST APT 7, SEATTLE, WA 98109-1756
(253) 363-7493
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MDRE.ML.61684539
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
04/04/2025
Last updated
06/19/2025
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