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Contact Information

ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC
1807 N HUTCHINSON RD
SPOKANE VALLEY, WA99212-2444
 Phone: 509-456-7414
 Fax: 509-624-0763
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC

NPI # 1710952882
LBN Legal business name ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC
Authorized official JOEL SEARS - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/21/2006
Last updated 04/26/2018 - About 8 years ago
Identifiers
WA License # 601724644
WA Medicaid 7084197
WA Other P00114626 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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