| NPI | 1366178493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SPENCER HOYT Owner 360-685-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| 207ZD0900X Pathology, Dermatopathology | |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2023-01-25 |