Individual
MS. SU HYEON JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60916751
WA
208M00000X
Hospitalist Physician
Primary
MD60916751
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2122789
—
WA
Enumeration date
07/18/2012
Last updated
11/05/2024
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