Individual
JIVATESH SINGH TUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2586
(360) 428-6470
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61446781
WA
Other
Enumeration date
03/28/2018
Last updated
09/05/2023
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