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Individual

DUC ANH NGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6079
(206) 583-2307
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6079
(206) 583-2307

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60275066
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083856413
WA
01
P01123468
RAILROAD MEDICARE
WA
Enumeration date
03/31/2009
Last updated
01/31/2013
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