Provider Demographics
NPI:1316941032
Name:PFAFF, DAVID A (MD)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:PFAFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 E 33RD ST
Mailing Address - Street 2:STE 206
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-2776
Mailing Address - Country:US
Mailing Address - Phone:360-695-1334
Mailing Address - Fax:360-992-1159
Practice Address - Street 1:100 E 33RD ST
Practice Address - Street 2:STE 206
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2776
Practice Address - Country:US
Practice Address - Phone:360-695-1334
Practice Address - Fax:360-992-1159
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00031253207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1680602Medicaid
WAG000680504Medicare PIN
WAA08126Medicare UPIN