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Physicians Dermatology

Provider NPI: 1093736621

Organization Information:
Organization is not Subpart
Authorized Official:  CATHERINE A BOELKE  EXECUTIVE DIRECTOR  206-616-1024

Practice Location:
701 5TH AVE SUITE 700 SEATTLE, WA 98104-7097 US
Tel: 206-543-6420  Fax: 206-520-5620

Business Mailing Address:
PO BOX 50095  SEATTLE, WA 98145-5095 US
Tel: 206-543-6420  Fax: 206-520-5620

NPI Information:
NPI: 1093736621
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Neurological Surgery
Plastic Surgery
Physical Medicine & Rehabilitation
Internal Medicine
Orthopaedic Surgery
Psychiatry & Neurology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207L00000X





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