NPI | 1811004757 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL L ROSS Physician 509-921-7884 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: WA OP00001816) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2014-05-02 |