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Physicians Dermatology MOHS-Micrographic Surgery

Provider NPI: 1336129154

Organization Information:
Organization Name:  SIDNEY F WHALEY JR
Organization is not Subpart
Authorized Official:  SIDNEY F WHALEY  PRESIDENT  253-383-1529

Practice Location:
314 MLK JR WY #210  TACOMA, WA 98405-4271 US
Tel: 253-383-1529  Fax: 253-593-4344

Business Mailing Address:
314 MLK JR WY #210  TACOMA, WA 98405-4271 US
Tel: 253-383-1529  Fax: 253-593-4344

NPI Information:
NPI: 1336129154
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
MOHS-Micrographic Surgery

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207N00000X





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