Individual
DR. WALTER C. FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10416 5TH AVE NE, SEATTLE, WA 98125-7402
(206) 517-6700
Mailing address
10416 5TH AVE NE, SEATTLE, WA 98125-7402
(206) 517-6700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00025056
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8305351
—
WA
Enumeration date
10/14/2005
Last updated
07/23/2012
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