Individual
MATTHEW JULIAN DUENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24920 104TH AVE SE, KENT, WA 98030-6443
(425) 690-3420
(425) 690-9420
Mailing address
24920 104TH AVE SE, KENT, WA 98030-6443
(425) 690-3420
(425) 690-3420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61181715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136098
—
WA
Enumeration date
05/30/2019
Last updated
08/31/2022
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