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Organization

CONVOY UNION MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZHIQIAN WANG (MD)
(425) 765-3999
Entity
Organization

Contact information

Practice address
1414 116TH AVE NE STE F, BELLEVUE, WA 98004-3801
(425) 765-3999
Mailing address
1414 116TH AVE NE STE F, BELLEVUE, WA 98004-3801

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD00047633
WA

Other

Enumeration date
02/19/2012
Last updated
11/14/2013
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