208100000X
Longview, WA
Specialty
208100000X
Credential
MD PC
NPI
1134103088
1615 Delaware St, Longview, WA 98632
(360) 200-2247Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208100000X
Peacehealth Gastroenterology Endoscopy Center
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