Organization
ISLAND COUNTY DERMATOLOGY, PLLC
Active
Other names
ISLAND SKIN CANCER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD RUSSELL JOHNSON MD PHD (OWNER)
(360) 588-0613
Entity
Organization
Contact information
Practice address
3110 COMMERCIAL AVE STE 105, ANACORTES, WA 98221-2762
(360) 588-0613
Mailing address
3110 COMMERCIAL AVE STE 105, ANACORTES, WA 98221-2762
(360) 588-0613
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD00038058
WA
Other
Enumeration date
05/05/2008
Last updated
11/01/2010
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