| NPI | 1790057792 |
|---|---|
| Doing Business As | ANACORTES DERMATOLOGY PC INC |
| Doing Business As | ANACORTES DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | WIRT ANDERSON HINES President 360-395-8768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 261Q00000X Clinic/Center (Licence: WA MD00045767) | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2024-02-27 |