Individual
DR. RANDY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1660 S COLUMBIAN WAY, BLDG 1 ROOM 113, SEATTLE, WA 98108-1532
(206) 277-5158
Mailing address
1660 S COLUMBIAN WAY, BLDG 1 ROOM 113, SEATTLE, WA 98108-1532
(206) 277-5158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60408313
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184918112
—
WA
Enumeration date
06/07/2011
Last updated
05/09/2023
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