| NPI | 1497737308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD S CARMICK Medical Doctor 360-478-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA 00010274) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: WA 00010274) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-11-07 |