Individual
ALEXIS ECHO PONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101
(206) 223-6772
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
PA60995334
WA
Other
Enumeration date
08/23/2018
Last updated
08/30/2019
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