FREDRICK SUNGJAE AN DO
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1194991901- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 413 LILLY RD NE, OLYMPIA, WA, 985065166
- Phone
- (360) 491-9480
- Fax
- (360) 456-2413
Specialties & Taxonomies
Internal Medicine
License: OR #DO29350
Hospitalist
License: WA #OP61580368
Internal Medicine
Primary License: WA #OP61580368