| NPI | 1881660751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL K SEARS Medical Director 509-456-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA 207N00000X) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: WA 207ND0900X) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: WA 207NS0135X) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2016-05-11 |