Individual
DANRUNG VANICHKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 782-3300
(360) 782-3540
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60513407
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/03/2013
Last updated
02/11/2022
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