| NPI | 1841371960 |
|---|---|
| Doing Business As | SKIN SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | PETER B ODLAND President 206-346-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-04-20 |