Individual
DR. PRASIT PHOWTHONGKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HEALTH SCIENCES BLDG K-253, UNIVERSITY OF WASHINGTON,DIVISION OF MEDICAL GENETICS, SEATTLE, WA 98195
(206) 616-4521
Mailing address
5240 UNIVERSITY WAY NE, APT 519, SEATTLE, WA 98105-3537
(267) 210-7008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT201870
PA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
ML60566212
WA
Other
Enumeration date
07/06/2012
Last updated
07/02/2015
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