| Vvmd Medical Inc | |
|
6508 196th St Sw Lynnwood WA 98036-5922 | |
| (425) 673-2572 | |
| (425) 673-4131 |
| Full Name | Vvmd Medical Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6508 196th St Sw, Lynnwood, Washington |
| Authorized Official Name and Position | Daniel V. Phan (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4256732572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vvmd Medical Inc 6508 196th St Sw Lynnwood WA 98036-5922 Ph: (425) 673-2572 | Vvmd Medical Inc 6508 196th St Sw Lynnwood WA 98036-5922 Ph: (425) 673-2572 |
| NPI Number | 1093816571 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 07/02/2014 |
| Medicare PECOS PAC ID | 4082610522 |
|---|---|
| Medicare Enrollment ID | O20061006000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093816571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | UBI 601860677 (Washington) | Primary |
| Provider Name | Daniel V Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871589135 PECOS PAC ID: 4183620628 Enrollment ID: I20061006000069 |
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