Organization
ADVANCED GASTROENTEROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL K SIM (PARTNER)
(360) 946-4313
Entity
Organization
Contact information
Practice address
3250 SE 164TH AVE STE 205, VANCOUVER, WA 98683-9313
(360) 946-4313
(360) 576-1133
Mailing address
3250 SE 164TH AVE STE 205, VANCOUVER, WA 98683-9313
(360) 946-4313
(360) 314-2067
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00042129
WA
Other
Enumeration date
10/31/2006
Last updated
11/07/2024
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