| NPI | 1710173703 |
|---|---|
| Doing Business As | VALLEY DERMATOLOGY ASSOCIATES P.S., INC |
| Entity Type | Organization |
| Authorized Contact | HEATHER BRASWELL Clinical Manager 509-966-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology | |
| 207NP0225X Dermatology Pediatric Dermatology | |
| 207NS0135X Dermatology Procedural Dermatology | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical (Licence: WA PA10004546) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2023-10-03 |