| NPI | 1215998943 |
|---|---|
| Doing Business As | OLYMPIC DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAUL BENHART THOMPSON President Provider 360-683-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00016078) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-10-07 |