PUYALLUP DERMATOLOGY CLINIC INC P.S. NPI 1740281344

NPI Information

PUYALLUP DERMATOLOGY CLINIC INC P.S. is a specialist in Puyallup, 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. PUYALLUP DERMATOLOGY CLINIC INC P.S. NPI is 1740281344. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

929 E MAIN AVE
SUITE 210
PUYALLUP, WA
ZIP 98372-116
Phone: (253) 841-2453
Fax: (253) 840-5519

The provider's authorized official is Mark Allen Crowe .
The authorized official title is President and has the following contact phone number (253) 841-2453.

The enumeration date for this NPI number is 8/3/2005 and was last updated on 1/26/2010.

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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