Individual
DR. ELMER ANTONIO MANGUBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16400 SOUTHCENTER PKWY, SUITE 101, TUKWILA, WA 98188-3335
(206) 575-0300
(206) 575-1881
Mailing address
16400 SOUTHCENTER PKWY, SUITE 101, TUKWILA, WA 98188-3335
(206) 575-0300
(206) 575-1881
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00032241
WA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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