Individual
DR. SHINE SUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
(425) 261-4462
Mailing address
10 COMMERCE DR, NEW ROCHELLE, NY 10801-5214
(914) 637-3510
(914) 819-0061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60077186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
12/04/2006
Last updated
11/04/2009
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