Doctor Name: | DR. QUAN P LE |
NPI Number: | 1144336397 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD00022714 |
Business Practice Address: | 4069 Rainier Ave S Ste A Seattle, WA - 981181162 |
Business Phone Number: | 2067212402 |
Business Fax Number: | 2067259870 |
Mailing Address: | 4069 Rainier Ave S Ste A, SEATTLE |
State: | WA |
Postal Code: | 981181162 |
Phone Number: | 2067212402 |
Fax Number: | 2077259870 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD00022714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |