Organization
KITSAP GENERAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TY CHUN M.D. (PHYSICIANPARTNER)
(360) 613-1335
Entity
Organization
Contact information
Practice address
9927 MICKELBERRY RD NW, SUITE 121, SILVERDALE, WA 98383-9195
(360) 613-1335
(360) 613-1329
Mailing address
9927 MICKELBERRY RD NW, SUITE 121, SILVERDALE, WA 98383-9195
(360) 613-1335
(360) 613-1329
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7134984
—
WA
Enumeration date
08/16/2006
Last updated
11/15/2012
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