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Individual

JIAN F. MA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
A72651
CA
208800000X
Urology Physician
Primary
MD00044965
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8440836
WA
Enumeration date
01/19/2007
Last updated
04/27/2021
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