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Individual

DR. CHARLES C SUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
317 N DELAWARE ST, KENNEWICK, WA 99336-7750
(509) 736-5550
(509) 737-8281
Mailing address
317 N DELAWARE ST, KENNEWICK, WA 99336-7750
(509) 736-5550
(509) 737-8281

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD21609
OR
207W00000X
Ophthalmology Physician
Primary
MD36139
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104926
WA
01
123380
LABOR AND INDUSTERIES
WA
05
130346
OR
01
MD21609
MEDICAL LICENSE
OR
01
MD36139
MEDICAL LICENSE
WA
Enumeration date
07/14/2005
Last updated
11/08/2017
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