Bainbridge Skin Surgery And Consultative Dermatology Pllc
Specialty details in registry · Bainbridge Island, WA
At a glance
271 Wyatt Way Ne, Bainbridge Island, WA 98110-2873
NPPES record updated Sep 29, 2020. Public records can lag behind changes at a practice.
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Practice location
271 Wyatt Way Ne Suite 108Bainbridge Island, WA 98110-2873
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 207ND0101X
- Enumeration date
- Feb 13, 2015
- Record updated
- Sep 29, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Dermatology
207N00000X
License reported: 46124 WA
Specialty details in registry
207ND0101X · Primary
License reported: 46124 WA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
271 Wyatt Way NeSuite 108
Bainbridge Island, WA 98110-2873
- Phone
- (206) 842-5666
- Fax
- (425) 742-8516
Mailing address
271 WYATT WAY NESUITE 108
BAINBRIDGE ISLAND, WA 981102873
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