Organization
FAMILY DERMATOLOGY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REESE BLIEK PA-C (PRESIDENT)
(360) 682-5024
Entity
Organization
Contact information
Practice address
275 SE CABOT DR STE A3, OAK HARBOR, WA 98277-3740
(360) 682-5024
(360) 682-5749
Mailing address
275 SE CABOT DR STE A3, OAK HARBOR, WA 98277-3740
(360) 682-5024
(360) 682-5749
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
603137655
UBI
WA
Enumeration date
09/20/2011
Last updated
04/01/2021
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