Individual
MR. KIRK TORGLE ECKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3911 CASTLEVALE RD, STE 301, YAKIMA, WA 98902-7807
(509) 965-1714
(509) 965-1714
Mailing address
3911 CASTLEVALE RD, STE 301, YAKIMA, WA 98902-7807
(509) 966-7899
(509) 225-6811
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00032475
WA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00032475
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B178956
—
WA
Enumeration date
08/31/2006
Last updated
03/16/2021
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