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NPI Code Detail

MEDICARE: MR. DAVID A PFAFF M.D.

MEDICARE: MR. DAVID A PFAFF M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianMD00031253WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316941032
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID A PFAFF M.D.
Provider Business Mailing Address
First Line : 100 E 33RD ST
Second Line : STE 206
City : VANCOUVER
State : WA
Zip : 98663-2776
Country : US
Telephone Number : 360-695-1334
Fax Number : 360-992-1159
Provider Business Practice Location Address
First Line : 100 E 33RD ST
Second Line : STE 206
City : VANCOUVER
State : WA
Zip : 98663-2776
Country : US
Telephone Number : 360-695-1334
Fax Number : 360-992-1159
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 06/30/2010

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Directions to “ MR. DAVID A PFAFF M.D.” Practice Location

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