Individual
DUONG M DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 108TH ST SW, LAKEWOOD, WA 98499-3724
(206) 682-2101
(206) 682-2089
Mailing address
PO BOX 98886, LAKEWOOD, WA 98496-8886
(253) 589-6484
(253) 984-1079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00017755
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2099097
—
WA
Enumeration date
04/19/2006
Last updated
09/05/2019
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