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Individual

JOEL H DATLOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8614 E MILL PLAIN BLVD, SUITE 400, VANCOUVER, WA 98664-2059
(360) 254-5267
(360) 254-6089
Mailing address
8614 E MILL PLAIN BLVD, SUITE 400, VANCOUVER, WA 98664-2059
(360) 254-5267
(360) 254-6089

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00023811
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1027416
WA
Enumeration date
06/28/2006
Last updated
01/03/2011
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