Longview Surgical Group

NPI #1851307078 in Longview, Washington

Provider Information

NPI Number: 1851307078
Entity Type: Organization
Organization Name: Longview Surgical Group
Primary Specialty: Surgery
Enumeration Date: Jul 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1615 DELAWARE ST
Address 2: SUITE 200
City: Longview
State: Washington
ZIP Code: 98632
Phone: (360) 501-3500

Authorized Official

Name: DENISE A SMITH
Title: ADMINISTRATOR
Phone: (360) 501-3548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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