Organization
EASTERN WASHINGTON DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN P SMITH MD (OWNER)
(509) 525-9404
Entity
Organization
Contact information
Practice address
228 W BIRCH ST, WALLA WALLA, WA 99362-2935
(509) 525-9904
(509) 525-9433
Mailing address
228 W BIRCH ST, WALLA WALLA, WA 99362-2935
(509) 525-9904
(509) 525-9433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
05/02/2011
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