Individual
ANDREW LUPDUC WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33801 1ST WAY S STE 101, FEDERAL WAY, WA 98003-6219
(253) 942-7226
Mailing address
PO BOX 94522, SEATTLE, WA 98124-6822
(866) 674-7933
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301107776
MI
2085R0202X
Diagnostic Radiology Physician
Primary
MD61142647
WA
Other
Enumeration date
06/04/2015
Last updated
06/14/2021
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