Organization
DERMATOLOGY ASSOCIATES OF SEATTLE PS
Active
Other names
Dermatology Associates of Seattle
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, SUITE 1000, SEATTLE, WA 98101-1498
(206) 267-2100
(206) 267-2101
Mailing address
1730 MINOR AVE, SUITE 1000, SEATTLE, WA 98101-1498
(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
04/03/2017
Last updated
04/03/2017
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