| NPI | 1144496613 |
|---|---|
| Doing Business As | ISLAND SKIN CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD RUSSELL JOHNSON Owner 360-588-0613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA MD00038058) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2010-11-01 |