| NPI | 1497755797 |
|---|---|
| Other Name | DERMATOLOGY & ALLERGY SPECIALISTS OF OLYMPIA |
| Entity Type | Organization |
| Authorized Contact | J. MARK BAUER Partner 360-413-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2013-10-22 |