Individual
JOHN Y PENG
Active
Individual
JOHN Y PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00037612
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR & INDUSTRY
WA
01
—
110207377
RAILROAD MEDICARE
WA
01
—
3328PE
BLUE SHIELD
WA
05
—
8254336
—
WA
01
—
US0818663
AETNA/USHC SPECIALIST
WA
Enumeration date
08/14/2006
Last updated
02/01/2013
Update your record
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