Island Dermatology Pllc

NPI 1215966635 - Dermatology - 207N00000X

NPI Details
NPI 1215966635
Enumeration Date 06/30/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BETTY J BETTY
Position OFFICE MANAGER
Phone (206) 232-7546
Fax (206) 275-0805
Practice Location
8435 SE 68TH ST
STE 118
MERCER ISLAND WA, 98040, US
Phone (206) 232-7546
Fax (206) 275-0805
Business Location
8435 SE 68TH ST
STE 118
MERCER ISLAND WA, 98040, US
Phone (206) 232-7546
Fax (206) 275-0805
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Island Dermatology Pllc NPI is 1215966635, taxonomy code is 207N00000X Island Dermatology Pllc physically located at 8435 Se 68th St, Mercer Island WA, 98040. NPI Number 1033115704 has the healthcare provider type.

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1215966635 NPI number is provided on an as is basis without warranty of any kind. 1215966635 is maintained by the National Plan & Provider Enumeration System. The contents of Island Dermatology Pllc are for informational purposes only.