Organization
EDWARD S CARMICK JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD S CARMICK MD (MEDICAL DOCTOR)
(360) 478-0522
Entity
Organization
Contact information
Practice address
2528 WHEATON WAY, # 204, BREMERTON, WA 98310-3305
(360) 478-0522
(360) 479-0225
Mailing address
2528 WHEATON WAY, # 204, BREMERTON, WA 98310-3305
(360) 478-0522
(360) 479-0225
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
00010274
WA
207NS0135X
Procedural Dermatology Physician
00010274
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1092519
—
WA
01
—
81892
LABOR & INDUSTRIES
WA
Enumeration date
11/16/2005
Last updated
11/07/2007
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