Individual
DR. BONNIE GONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12910 TOTEM LAKE BLVD NE, SUITE 102, KIRKLAND, WA 98034-2954
(425) 899-4455
(425) 899-4434
Mailing address
12910 TOTEM LAKE BLVD NE, SUITE 102, KIRKLAND, WA 98034-2954
(425) 899-4455
(425) 899-4434
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00037065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106830
—
WA
Enumeration date
08/09/2005
Last updated
03/25/2014
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