Providence Physician Group in Everett - Dermatology
Providence Physician Group - NPI 1932270360
Providence Physician Group is a Dermatology in Everett, Washington. Providence Physician Group practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Providence Physician Group is 1932270360. The last update date is 2020-08-22.
Providence Physician Group's current location address is 12800 Bothell Everett Hwy, Everett, Washington. You can contact this provider via phone number 4253165080 and fax number 4253165025. The mailing address for Providence Physician Group is 12800 Bothell Everett Hwy, Everett, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Providence Physician Group |
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Address | 12800 Bothell Everett Hwy, Everett, Washington |
Phone Number | 4253165080 |
Fax Number | 4253165025 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CHIEF EXEC |
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Authorized Official Name | Beegle D. Earl |
Credentials | MD |
Telephone Number | 4253165470 |
NPI Number Detail
NPI Number | 1932270360 |
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Provider Enumeration Date | 2006-11-09 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 12800 Bothell Everett Hwy |
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City | Everett |
State | Washington (WA) |
Post Code | 982086642 |
Phone Number | 4253165080 |
Fax Number | 4253165025 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7114101 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Providence Physician Group?
The Providence Physician Group has been issued the NPI (National Provider Identifier) 1932270360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Providence Physician Group located?
The Providence Physician Group is located at 12800 Bothell Everett Hwy, Everett, WA 982086642.
What is Providence Physician Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Providence Physician Group is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
When did Providence Physician Group receive its 1932270360 assignment?
The Providence Physician Group was assigned its 1932270360 on 2006-11-09, which is the date when this unique identifier was issued to the organization.
When was the information related to Providence Physician Group most recently updated or refreshed?
The details pertaining to the Providence Physician Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.