Individual
DR. PRINCE PANNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4545 CORDATA PKWY, SUITE 2C, BELLINGHAM, WA 98226-7263
(360) 738-2200
(360) 752-5687
Mailing address
1115 SE 164TH AVE, DEPT 358, VANCOUVER, WA 98683-9324
(360) 738-2200
(360) 752-5687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60535103
WA
207Q00000X
Family Medicine Physician
RL12295
ND
Other
Enumeration date
07/09/2012
Last updated
03/02/2016
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