Organization
CHAN S HWANG, MD, PLLC
Active
Other names
Lakewood Electrodiagnosis and Physiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAN S HWANG M.D. (PHYSICIAN MANAGER)
(253) 229-0580
Entity
Organization
Contact information
Practice address
126 15TH ST SE, PUYALLUP, WA 98372-3409
(253) 229-0580
Mailing address
126 15TH ST SE, PUYALLUP, WA 98372-3409
(253) 229-0580
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD00035834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0150123
DEPARTMENT OF LABOR AND INDUSTRIES
WA
05
—
1114321
—
WA
Enumeration date
02/28/2012
Last updated
02/28/2012
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