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Puyallup Dermatology Clinic Inc P.s.
Specialist in Puyallup, Washington
NPI 1740281344

Puyallup Dermatology Clinic Inc P.s. is a Specialist based in Puyallup, WA. Puyallup Dermatology Clinic Inc P.s. practices in Puyallup, WA. The NPI Number for Puyallup Dermatology Clinic Inc P.s. is 1740281344 and holds a License No. MD00038522 (Washington).

The current practice location address for Puyallup Dermatology Clinic Inc P.s. is 929 E Main Ave, Puyallup, WA and can be reached out via phone at 253-841-2453 and via fax at 253-840-5519.

Location: 929 E Main Ave, Puyallup, WA, 98372-3116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740281344
Provider Name
Puyallup Dermatology Clinic Inc P.s.
Credential
Provider Entity Type
Organization
Address
929 E Main Ave, Puyallup, WA, 98372-3116
Phone Number
253-841-2453
Fax Number
253-840-5519
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7095656 05 WA
53030 01 WA DEPT OF L&I
institution
Provider Business Practice Location Address Details
Address
929 E Main Ave
City
Puyallup
State
Washington
Zip
98372-3116
Phone Number
253-841-2453
Fax Number
253-840-5519
person
Provider Business Mailing Address Details
Address
929 E Main Ave
City
Puyallup
State
Washington
Zip
98372-3116
Phone Number
253-841-2453
Fax Number
253-840-5519
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD00038522 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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