Individual
JIMMY B. DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2320 FREEWAY DRIVE, MOUNT VERNON, WA 98273
(360) 814-6800
(360) 814-6917
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4633
OK
207X00000X
Orthopaedic Surgery Physician
Primary
OP60606905
WA
207X00000X
Orthopaedic Surgery Physician
OS11558
FL
207XS0106X
Orthopaedic Hand Surgery Physician
OP60606905
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004858700
—
FL
Enumeration date
07/24/2008
Last updated
02/02/2016
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