Individual
VICTORIA B FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
32018 23RD AVE S, FEDERAL WAY, WA 98003
(253) 839-3030
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00039819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110229300
RAILROAD MEDICARE
WA
05
—
1225250194
—
WA
Enumeration date
05/02/2007
Last updated
09/19/2012
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