| NPI | 1649281320 |
|---|---|
| Doing Business As | WHIDBEY DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | DONALD RUSSELL JOHNSON Owner, Medical Director 360-678-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00038058) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-09-28 |