DERMATOLOGY & ALLERGY SPECIALISTS NPI 1497755797

NPI Information

DERMATOLOGY & ALLERGY SPECIALISTS is a specialist in Olympia, WA. The provider is 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. DERMATOLOGY & ALLERGY SPECIALISTS NPI is 1497755797. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dermatology & Allergy Specialists Of Olympia.

The provider's business location address is:

304 W BAY DR NW
SUITE 301
OLYMPIA, WA
ZIP 98502-958
Phone: (360) 413-8760
Fax: (360) 413-8839

The provider's authorized official is J. Mark Bauer .
The authorized official title is Partner and has the following contact phone number (360) 413-8297.

The CLIA number assigned to this NPI record is 50D0988718 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/28/2005 and was last updated on 10/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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