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Individual

YEVGENIY VAYNTRUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1708 YAKIMA AVE STE 300, TACOMA, WA 98405-5309
(253) 363-8700
(253) 272-0419
Mailing address
1708 YAKIMA AVE STE 300, TACOMA, WA 98405-5309
(253) 363-8700
(253) 272-0419

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD61184072
WA
207RP1001X
Pulmonary Disease Physician
Primary
MD61184072
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2202033
WA
Enumeration date
04/18/2012
Last updated
02/19/2024
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