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Individual

GARY G CHINN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4101
Mailing address
4218 92ND AVE NE, YARROW POINT, WA 98004-1323

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00021899
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
108154
L&I
01
G16667
B/S REGENCE 90
Enumeration date
07/24/2006
Last updated
07/08/2007
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