Individual
NICHOLAS H. SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1703 S MERIDIAN STE 305, PUYALLUP, WA 98371-7590
(253) 841-3933
(253) 848-7970
Mailing address
3209 S 23RD ST STE 340, TACOMA, WA 98405-1602
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
5101015880
MI
207RG0100X
Gastroenterology Physician
Primary
OP60152129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053813635
BCBSM
MI
01
—
OP60152129
WA LICENSE
WA
Enumeration date
05/20/2007
Last updated
06/21/2019
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