NPI 1003992090

Advanced Gastroenterology, PLLC

Organisation Gastroenterology Physician Vancouver, WA

Practice location

Address: 3250 SE 164th Ave STE 205, Vancouver, WA 98683-9313
Phone: (360) 946-4313
Fax: (360) 576-1133

Authorised official

Name: Samuel K Sim
Title: Partner
Phone: (360) 946-4313

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence MD00042129 (WA)

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Registry record

NPI: 1003992090
Entity type: Organization
NPI issued: 31 Oct 2006
Record last updated: 7 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.