Organization
TRI-CITY DERM MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L. ADAMS M.D. (PRESIDENT)
(509) 783-7413
Entity
Organization
Contact information
Practice address
4911 W CANAL DR, KENNEWICK, WA 99336-1408
(509) 783-7413
Mailing address
4911 W CANAL DR, KENNEWICK, WA 99336-1408
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00011357
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1098912
—
WA
Enumeration date
11/22/2006
Last updated
06/24/2008
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