101YA0400X
Longview, WA
Specialty
101YA0400X
Credential
MS, MHP
NPI
1508098930
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 101ya0400x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 101YA0400X
Peacehealth Gastroenterology Endoscopy Center
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