Mid-Columbia Dermatology, LLC
NPI #1033457395 in Richland, Washington
Provider Information
- NPI Number
- 1033457395
- Entity Type
- Organization
- Organization Name
- Mid-Columbia Dermatology, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 22, 2013
- Last Updated
- Jan 22, 2013
Practice Location
- Address
- 309 BRADLEY BLVD
- Address 2
- STE 101
- City
- Richland
- State
- Washington
- ZIP Code
- 99352-4381
- Phone
- (509) 619-5936
Authorized Official
- Name
- JENNIFER MCCULLUGH
- Title
- MANAGING MEMBER
- Phone
- (509) 619-5936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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