Individual
AMADOR P. SUBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WESTERLY RD, SUITE 101, BELLINGHAM, WA 98226
(360) 656-5839
(360) 306-8921
Mailing address
200 WESTERLY RD, SUITE 101, BELLINGHAM, WA 98226
(360) 656-5839
(360) 306-8921
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A84202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A842020
—
CA
Enumeration date
11/01/2006
Last updated
11/21/2017
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