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PHANTHABOON PHANNAVONG
Physician Assistant
NPI: 1831850791IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA61358368(WA)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
EASTERN VIRGINIA MEDICAL SCHOOL
Class of 2022
Contact & Hours
- Address
- 2671 NE 46TH ST
SEATTLE, WA 98105 - Phone
- (206) 525-8000
Quick Facts
- NPI
- 1831850791
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 4
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