| Phuc T Phung, MD | |
|
24920 104th Ave Se, Kent, WA 98030-6443 | |
| (253) 395-2000 | |
| (253) 395-1946 |
| Full Name | Phuc T Phung |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 24920 104th Ave Se, Kent, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053561134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD60178745 (Washington) | Primary |
| Entity Name | Valley Medical Group-renton |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113 |
| Mailing Address | Practice Location Address |
|---|---|
| Phuc T Phung, MD Po Box 34876, Seattle, WA 98124-1876 Ph: (425) 656-5412 | Phuc T Phung, MD 24920 104th Ave Se, Kent, WA 98030-6443 Ph: (253) 395-2000 |
Daniela Jordanova Sorokovska, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7866 | |
Von Chang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 State Ave N, Kent, WA 98030 Phone: 253-372-7866 | |
Dr. Sheri Lynn Peterson-buckley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 253-395-2000 Fax: 253-395-1956 | |
Thomas Michael Mccown Jr., DO Family Medicine Medicare: Medicare Enrolled Practice Location: 26004 104th Ave Se, Kent, WA 98030 Phone: 800-422-2844 Fax: 877-514-9952 | |
Matthew Julian Duenas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 24920 104th Ave Se, Kent, WA 98030 Phone: 425-690-3420 Fax: 425-690-9420 | |
Dr. Jinny Kim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E Meeker St Ste 200, Kent, WA 98030 Phone: 253-852-2866 |