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Individual

ALLEN GABRIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
703 BROADWAY ST STE 700, VANCOUVER, WA 98660-3307
(360) 869-4200
Mailing address
703 BROADWAY ST STE 700, VANCOUVER, WA 98660-3307
(360) 869-4200

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00049238
WA
208600000X
Surgery Physician
A82206
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8510059
WA
Enumeration date
01/08/2007
Last updated
07/29/2022
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