James H Petrin in Redmond - Procedural Dermatology

James H Petrin - NPI 1316948904

James H Petrin is a Procedural Dermatology in Redmond, Washington. James H Petrin practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for James H Petrin is 1316948904. The last update date is 2023-09-13.

James H Petrin's current location address is 8301 161st Ave Ne Ste 108, Redmond, Washington. You can contact this provider via phone number 4254857985 and fax number 4254832375. The mailing address for James H Petrin is 8301 161st Ave Ne Ste 108, Redmond, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name James H Petrin
Address 8301 161st Ave Ne Ste 108, Redmond, Washington
Phone Number 4254857985
Fax Number 4254832375
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1316948904
Provider Enumeration Date 2005-08-03
Last Updated Date 2023-09-13

Provider Mailing Address Detail

Address 8301 161st Ave Ne Ste 108
City Redmond
State Washington (WA)
Post Code 980523858
Phone Number 4254857985
Fax Number 4254832375

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No MD00035810
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
128869 WA DEPT OF L&I
7136443 WA --
53030 WA DEPT OF L&I GROUP
8228371 WA --
7095656 WA --

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FAQs about James H Petrin

What is the James H Petrin's 1316948904?

The James H Petrin's NPI (National Provider Identifier) Number is 1316948904. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of James H Petrin?

The James H Petrin is situated at 8301 161St Ave Ne Ste 108, in the city of Redmond, state of WA, with the zip code 980523858.

What is the James H Petrin's specialty and taxonomy code?

The James H Petrin's specialty is Procedural Dermatology, and the corresponding taxonomy code is 207Ns0135X.

On what date did the Centers for Medicare & Medicaid Services assign the 1316948904 to James H Petrin?

The Centers for Medicare & Medicaid Services assigned the 1316948904 to James H Petrin on 2005-08-03.

When was the information regarding James H Petrin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to James H Petrin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-09-13.

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