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Individual

SOPHIA P WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 656-5566
(425) 656-5567
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
57300
CT
2084N0400X
Neurology Physician
MD173002
OR
2084N0400X
Neurology Physician
Primary
MD60705049
WA

Other

Enumeration date
06/13/2011
Last updated
10/30/2019
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