# THE POLYCLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Polyclinic Mohs Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982149761
- **Authorized official:** LLOYD DAVID (CEO)
- **Authorized official phone:** (206) 329-1760

## Contact information

- **Practice address:** 1229 MADISON ST, SUITE 1090, SEATTLE, WA 98104-3586
- **Practice address phone:** (206) 860-5595
- **Practice address fax:** (206) 720-7447
- **Mailing address:** 1229 MADISON ST, SUITE 1090, SEATTLE, WA 98104-3586
- **Mailing address phone:** (206) 860-5595
- **Mailing address fax:** (206) 720-7447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2017
- **Last updated:** 01/27/2017