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Grace B. Gamponia, MD
Adult Medicine Physician in Renton, Washington
NPI 1164450748

Grace B. Gamponia is an Adult Medicine Physician based in Renton, WA and is specialized in Adult Medicine. Grace B. Gamponia practices in Renton, WA and has the professional credentials of MD. The NPI Number for Grace B. Gamponia is 1164450748 and holds a License No. MD00035568 (Washington).

The current practice location address for Grace B. Gamponia is 4033 Talbot Rd S, Renton, WA and can be reached out via phone at 425-656-5400 and via fax at 425-656-5079. You can also correspond with Grace B. Gamponia through the mailing address at 3600 LIND AVE SW, RENTON, WA - 98057-4970 (mailing address contact number: 425-690-2715).

Location: 4033 Talbot Rd S, Renton, WA, 98057-4970
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Provider Profile Details
NPI Number
1164450748
Provider Name
Grace B. Gamponia
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4033 Talbot Rd S, Renton, WA, 98057-4970
Phone Number
425-656-5400
Fax Number
425-656-5079
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043099 05 WA
G8891427 01 WA MEDICARE - VALLEY MEDICAL GROUP
8227522 05 WA
institution
Provider Business Practice Location Address Details
Address
4033 Talbot Rd S
City
State
Zip
98055-5772
Phone Number
425-656-5400
Fax Number
425-656-5079
person
Provider Business Mailing Address Details
Address
4033 Talbot Rd S
City
State
Zip
98055-5772
Phone Number
425-656-5400
Fax Number
425-656-5079
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
MD00035568 (Washington)
Definition
Definition to come.
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