Innovative Wound Healing & Dermatology

NPI #1538741053 in Bonney Lake, Washington

Provider Information

NPI Number: 1538741053
Entity Type: Organization
Organization Name: Innovative Wound Healing & Dermatology
Primary Specialty: Dermatology
Enumeration Date: Apr 23, 2021
Last Updated: Sep 16, 2024

Practice Location

Address: 21137 SR 410 E STE I
City: Bonney Lake
State: Washington
ZIP Code: 98391-8775
Phone: (800) 425-2805

Authorized Official

Name: DANIEL LEVY, MD
Title: PROVIDER
Phone: (800) 425-2805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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