| NPI | 1932270360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL D. BEEGLE Chief Executive Officer 425-316-5470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207ND0900X Dermatology, Dermatopathology | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |