Epiphany Dermatology of Washington Pllc
NPI #1053142778 in Mercer Island, Washington
Provider Information
- NPI Number
- 1053142778
- Entity Type
- Organization
- Organization Name
- Epiphany Dermatology of Washington Pllc
- Primary Specialty
- Dermatology
- Enumeration Date
- Aug 13, 2024
- Last Updated
- Aug 13, 2024
Practice Location
- Address
- 7707 SE 27TH ST STE 104
- City
- Mercer Island
- State
- Washington
- ZIP Code
- 98040-2844
- Phone
- (512) 628-0465
Authorized Official
- Name
- GHEORGHE PUSTA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (512) 628-0465
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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