Individual
MILLIE Y TUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FACP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00014377
WA
207RN0300X
Nephrology Physician
Primary
MD00014377
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520501
—
WA
Enumeration date
08/30/2005
Last updated
12/14/2007
Update your record
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