| Advanced Gastroenterology, Pllc | |
|
2415 Ne 134th St Suite 205 Vancouver WA 98686-3025 | |
| (360) 576-5060 | |
| (360) 576-1133 |
| Full Name | Advanced Gastroenterology, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2415 Ne 134th St, Vancouver, Washington |
| Authorized Official Name and Position | Son T Do (OWNER) |
| Authorized Official Contact | 3605765060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Gastroenterology, Pllc 2415 Ne 134th St Suite 205 Vancouver WA 98686-3025 Ph: (360) 576-5060 | Advanced Gastroenterology, Pllc 2415 Ne 134th St Suite 205 Vancouver WA 98686-3025 Ph: (360) 576-5060 |
| NPI Number | 1003992090 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 11/09/2009 |
| Medicare PECOS PAC ID | 3072679919 |
|---|---|
| Medicare Enrollment ID | O20090302000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003992090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD00042129 (Washington) | Primary |
| Provider Name | Samuel Sim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275633844 PECOS PAC ID: 8224029830 Enrollment ID: I20090303000112 |
| Provider Name | Frank Yeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710102959 PECOS PAC ID: 5193913572 Enrollment ID: I20130710000260 |
| Provider Name | Vikas Garg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174775951 PECOS PAC ID: 4183849839 Enrollment ID: I20211026002723 |
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