Organization
LDV ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG DAI VU DO (PROVIDER/OWNER)
(253) 588-7911
Entity
Organization
Contact information
Practice address
3819 100TH ST SW, SUITE 7-C, LAKEWOOD, WA 98499-4470
(253) 588-7911
(253) 984-6774
Mailing address
1901 S UNION AVE, TACOMA, WA 98405-1702
(253) 459-6611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OP00002157
WA
Other
Enumeration date
09/30/2008
Last updated
10/08/2008
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