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Organization
CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY
Active
Organization
CHESNUT INSTITUTE OF COSMETIC & RECONSTRUCTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON CHESNUT MD (PRESIDENT / OWNER)
(208) 640-1488
Entity
Organization
Contact information
Practice address
510 S COWLEY ST, SPOKANE, WA 99202-1332
(208) 640-1488
Mailing address
510 S COWLEY ST, SPOKANE, WA 99202-1332
(208) 640-1488
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/19/2017
Last updated
02/28/2024
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