Individual
SHAN DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4033 TALBOT RD S STE 500, RENTON, WA 98055-5704
(425) 656-5365
(425) 656-5325
Mailing address
3600 LIND AVE SW STE 100, RENTON, WA 98057-4970
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD60754554
WA
Other
Enumeration date
04/25/2011
Last updated
03/17/2018
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