Island Dermatology Pllc
NPI #1215966635 in Mercer Island, Washington
Provider Information
- NPI Number
- 1215966635
- Entity Type
- Organization
- Organization Name
- Island Dermatology Pllc
- Primary Specialty
- Dermatology
- Enumeration Date
- Jun 30, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8435 SE 68TH ST
- Address 2
- STE 118
- City
- Mercer Island
- State
- Washington
- ZIP Code
- 98040
- Phone
- (206) 232-7546
Authorized Official
- Name
- MS. BETTY J HEUPEL
- Title
- OFFICE MANAGER
- Phone
- (425) 486-2340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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