| NPI | 1790057792 |
|---|---|
| Doing Business As | ANACORTES DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | WIRT A HINES President 360-399-6036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MD00045767) |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2019-06-30 |