Organization
LONGVIEW SURGICAL GROUP
Active
Other names
Salmon Creek Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE A SMITH (ADMINISTRATOR)
(360) 501-3548
Entity
Organization
Contact information
Practice address
1615 DELAWARE ST, SUITE 200, LONGVIEW, WA 98632
(360) 501-3500
(360) 501-3555
Mailing address
1615 DELAWARE ST, SUITE 200, LONGVIEW, WA 98632
(360) 501-3500
(360) 501-3555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7715501
—
WA
Enumeration date
07/31/2006
Last updated
08/22/2020
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