Individual
DR. JERRY QUON TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4323 UNIVERSITY WAY NE, SEATTLE, WA 98105-5808
(206) 633-1081
(206) 633-1432
Mailing address
4323 UNIVERSITY WAY NE, SEATTLE, WA 98105-5808
(206) 633-1081
(206) 633-1432
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
WA 1895
WA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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