Individual
NEON CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4932 163RD PL SE, BELLEVUE, WA 98006-4733
(206) 372-2566
(425) 644-2462
Mailing address
4932 163RD PL SE, BELLEVUE, WA 98006-4733
(206) 372-2566
(425) 644-2462
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10001330
WA
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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