Organization
JOHN HUNG, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE LYNN NASH (OFFICE MANAGER)
(253) 446-0750
Entity
Organization
Contact information
Practice address
11212 SUNRISE BLVD E, SUITE 201, PUYALLUP, WA 98374-8847
(253) 446-0750
(253) 446-0757
Mailing address
11212 SUNRISE BLVD E, SUITE 201, PUYALLUP, WA 98374-8847
(253) 446-0750
(253) 446-0757
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD00046263
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123140
—
WA
01
—
1684HU
REGENCE
WA
Enumeration date
03/09/2007
Last updated
03/07/2008
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