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Individual

STEPHEN GENE CHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-1110
Mailing address
4607 WESTERDALE DR, FULSHEAR, TX 77441-4224

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101271855
VA
207P00000X
Emergency Medicine Physician
Primary
MD61484435
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/10/2019
Last updated
01/17/2024
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