Individual
MAI DING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 DELAWARE ST, ANESTHESIOLOGY, LONGVIEW, WA 98632-2367
(360) 636-4878
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 636-4878
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00039692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229303
LABOR & INDUSTRIES
WA
05
—
287649
—
OR
05
—
8310179
—
WA
01
—
P00636463
RAILROAD MEDICARE
WA
Enumeration date
11/30/2005
Last updated
04/28/2010
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