Eastern Washington Dermatology Pllc

NPI 1356422588 - Specialist - 174400000X

NPI Details
NPI 1356422588
Enumeration Date 10/17/2006
Last Updated 05/02/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EILEEN P EILEEN
Position OWNER
Phone (509) 525-9904
Fax (509) 525-9433
Practice Location
228 W BIRCH ST
WALLA WALLA WA, 99362-2935, US
Phone (509) 525-9904
Fax (509) 525-9433
Business Location
228 W BIRCH ST
WALLA WALLA WA, 99362-2935, US
Phone (509) 525-9904
Fax (509) 525-9433
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Eastern Washington Dermatology Pllc NPI is 1356422588, taxonomy code is 174400000X Eastern Washington Dermatology Pllc physically located at 228 W Birch St, Walla Walla WA, 99362-2935. NPI Number 1033115704 has the healthcare provider type.

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1356422588 NPI number is provided on an as is basis without warranty of any kind. 1356422588 is maintained by the National Plan & Provider Enumeration System. The contents of Eastern Washington Dermatology Pllc are for informational purposes only.