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Organization

PETER JENKIN MD PLLC

Active
Other names
DERMATOLOGY ASSOCIATES
Organization subpart
No

Provider details

NPI number
Authorized official
PETER J JENKIN MD (OWNER)
(206) 267-2100
Entity
Organization

Contact information

Practice address
1730 MINOR AVE STE 1000, SEATTLE, WA 98101-1464
(206) 267-2100
(206) 267-2101
Mailing address
1730 MINOR AVE STE 1000, SEATTLE, WA 98101-1464
(206) 267-2100
(206) 267-2101

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00037526
WA
207ND0101X
MOHS-Micrographic Surgery Physician
MD00037526
WA
207ND0900X
Dermatopathology Physician
MD00037526
WA

Other

Enumeration date
12/03/2009
Last updated
12/03/2009
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