NPI | 1780782904 |
---|---|
Doing Business As | PENINSULA DERMATOLOGY & LASER CLINIC PLLC |
Entity Type | Organization |
Authorized Contact | ERIC O RASMUSSEN President Owner 253-851-7733 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00019650) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-04-30 |