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Individual

DR. THOMAS TAI CHUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Mailing address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00038197
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1110659
WA
01
137466
LGI
WA
Enumeration date
11/15/2006
Last updated
12/17/2013
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