NW Dermatology & Skin Cancer Clinic

NPI #1336292796 in Edmonds, Washington

Provider Information

NPI Number: 1336292796
Entity Type: Organization
Organization Name: NW Dermatology & Skin Cancer Clinic
Primary Specialty: Dermatology
Enumeration Date: Jan 19, 2007
Last Updated: Jun 25, 2008

Practice Location

Address: 21600 HIGHWAY 99
Address 2: SUITE 280
City: Edmonds
State: Washington
ZIP Code: 98026-8012
Phone: (425) 774-2616

Authorized Official

Name: DR. JOHN LAWRENCE HEADLEY, M.D.
Title: OWNER
Phone: (425) 774-2616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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