Organization
VALLEY DERMATOLOGY, PS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAIRE L HAYCOX MD., PHD (OWNER)
(360) 582-0808
Entity
Organization
Contact information
Practice address
565 EUREKA WAY, SEQUIM, WA 98382-5074
(360) 582-0808
(360) 683-5678
Mailing address
565 EUREKA WAY, SEQUIM, WA 98382-5074
(360) 582-0808
(360) 683-5678
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00035129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7111479
—
WA
Enumeration date
05/05/2006
Last updated
01/03/2008
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