1041C0700X
Longview, WA
Specialty
1041C0700X
Credential
LICSW
NPI
1497325039
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 1041c0700x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1041C0700X
Peacehealth Gastroenterology Endoscopy Center
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