NPI | 1033500806 |
---|---|
Entity Type | Organization |
Authorized Contact | DUANE C WHITAKER Owner 206-842-5666 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WA 46124) |
Additional Taxonomies | 207N00000X Dermatology (Licence: WA 46124) |
Enumeration Date | 2015-02-13 |
Last Update Date | 2020-09-29 |