Puyallup Dermatology Clinic Inc P.S. in Puyallup - Specialist
Puyallup Dermatology Clinic Inc P.S. - NPI 1740281344
Puyallup Dermatology Clinic Inc P.S. is a Specialist in Puyallup, Washington. Puyallup Dermatology Clinic Inc P.S. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Puyallup Dermatology Clinic Inc P.S. is 1740281344. The last update date is 2010-01-26.
Puyallup Dermatology Clinic Inc P.S.'s current location address is 929 E Main Ave, Puyallup, Washington. You can contact this provider via phone number 2538412453 and fax number 2538405519. The mailing address for Puyallup Dermatology Clinic Inc P.S. is 929 E Main Ave, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Puyallup Dermatology Clinic Inc P.S. |
|---|---|
| Address | 929 E Main Ave, Puyallup, Washington |
| Phone Number | 2538412453 |
| Fax Number | 2538405519 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Crowe Allen Mark |
| Credentials | M.D. |
| Telephone Number | 2538412453 |
NPI Number Detail
| NPI Number | 1740281344 |
|---|---|
| Provider Enumeration Date | 2005-08-03 |
| Last Updated Date | 2010-01-26 |
Provider Mailing Address Detail
| Address | 929 E Main Ave |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983723116 |
| Phone Number | 2538412453 |
| Fax Number | 2538405519 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD00038522 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7095656 | WA | -- | |
| 53030 | WA | DEPT OF L&I |
Post Comment/ Review Below
What is the unique provider identifier assigned to Puyallup Dermatology Clinic Inc P.S.?
The Puyallup Dermatology Clinic Inc P.S. has been issued the NPI (National Provider Identifier) 1740281344 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Puyallup Dermatology Clinic Inc P.S.'s physical address?
The Puyallup Dermatology Clinic Inc P.S. is physically located at 929 E Main Ave, in the city of Puyallup, WA, with the postal code 983723116.
What is Puyallup Dermatology Clinic Inc P.S.'s area of expertise and its corresponding taxonomy classification?
The Puyallup Dermatology Clinic Inc P.S.'s field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Puyallup Dermatology Clinic Inc P.S. receive its 1740281344 assignment from the Centers for Medicare & Medicaid Services?
The Puyallup Dermatology Clinic Inc P.S. was assigned its 1740281344 by the Centers for Medicare & Medicaid Services on 2005-08-03.
As of what date were the Puyallup Dermatology Clinic Inc P.S.'s details last updated?
The information pertaining to the Puyallup Dermatology Clinic Inc P.S., including its address, specialty, and other details, was most recently updated on 2010-01-26.
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