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Individual

DR. PAUL Y CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2517 NE KRESKY AVE, CHEHALIS, WA 98532-2409
(360) 748-8632
(360) 748-3869
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00040172
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0047821
MT
05
1007352
WA
05
1306953617
ID
05
1571850
AK
01
180043029
RAIL ROAD MEDICARE
WA
01
180043030
RAIL ROAD MEDICARE
WA
01
180043031
RAIL ROAD MEDICARE
WA
01
180043539
RAIL ROAD MEDICARE
ID
01
180043540
RAIL ROAD MEDICARE OR
OR
01
180044162
RAIL ROAD MEDICARE MT
MT
05
268679
OR
Enumeration date
08/23/2006
Last updated
11/18/2020
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