NPI 1053561134

Phuc T Phung, MD

Practitioner Family Medicine Physician Kent, WA

Practice location

Address: 24920 104th Ave SE, Kent, WA 98030-6443
Phone: (253) 395-2000
Fax: (253) 395-1946
Mailing address: PO Box 34876, Seattle, WA 98124-1876

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD60178745 (WA)

Other Family Medicine providers in Washington →

Registry record

NPI: 1053561134
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2008
Record last updated: 20 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.