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Organization
AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE
Active
Organization
AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIE LEVY MD (OWNER)
(206) 248-5020
Entity
Organization
Contact information
Practice address
13610 1ST AVE S, BURIEN, WA 98168-3404
(206) 245-8502
(206) 244-8425
Mailing address
13610 1ST AVE S, BURIEN, WA 98168-3404
(206) 245-8502
(206) 244-8425
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7089576
—
WA
Enumeration date
01/08/2009
Last updated
05/25/2011
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