Individual
MR. STANLEY M SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 NE PARK PLAZA DR, SUITE 100, VANCOUVER, WA 98684-5899
(360) 254-8025
(360) 254-8618
Mailing address
222 NE PARK PLAZA DR, SUITE 100, VANCOUVER, WA 98684-5899
(360) 254-8025
(360) 254-8618
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23640
WA
207R00000X
Internal Medicine Physician
Primary
MD00023640
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013796
—
WA
01
—
110047161
RAILROAD MEDICARE
WA
Enumeration date
06/21/2006
Last updated
07/18/2008
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