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Organization
ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC
Active
Organization
ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL K SEARS M.D. (MEDICAL DIRECTOR)
(509) 456-7414
Entity
Organization
Contact information
Practice address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763
Mailing address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601724644
WA
261QA1903X
Ambulatory Surgical Clinic/Center
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7084197
—
WA
01
—
P00114626
RAILROAD MEDICARE
WA
Enumeration date
02/21/2006
Last updated
04/26/2018
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