Doctor Name: | MR. SIMON DAMIAN HILL |
NPI Number: | 1023046372 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA10004888 |
Business Practice Address: | 2901 Squalicum Pkwy Bellingham, WA - 982251851 |
Business Phone Number: | 3607345400 |
Business Fax Number: | |
Mailing Address: | Po Box 97115, LAKEWOOD |
State: | WA |
Postal Code: | 984970115 |
Phone Number: | 2535887911 |
Fax Number: | 2539846774 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA10004888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |