| NPI | 1912158023 |
|---|---|
| Doing Business As | PMG NW WA RECONSTRUCTIVE & PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Director Reimb Regulatory Strategy 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2021-03-01 |