Organization
ADVANCED GASTROENTEROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SON T DO MD (OWNER)
(360) 576-5060
Entity
Organization
Contact information
Practice address
2101 NE 139TH ST STE 265, VANCOUVER, WA 98686-2311
(360) 576-5060
(360) 576-1133
Mailing address
2101 NE 139TH ST STE 265, VANCOUVER, WA 98686-2311
(360) 576-5060
(360) 576-1133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
602508382
WA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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