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Chan Sun Hwang

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NPI Number Detailed Information

Provider Information:

Name: Chan Sun Hwang
Gender: M
Provider License Number If Given: MD00035834

NPI Information:

NPI: 1861486367
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 11/17/2017

Provider Business Mailing Address:

Address: 6820 WATER ST NE
Tacoma, WA 98422
Phone Number: 2537323564
Fax Number: 8774251425

Provider Business Practice Location Address:

Address: 9312 S TACOMA WAY STE 115
Lakewood, WA 98499
Phone Number: 2532512551
Fax Number: 2532513197

Provider Taxonomy:

Primary: 2081P2900X
Secondary (if any): 2081N0008X
State: WA

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