Organization
AESTHETIC & GENERAL DERMATOLOGY OF SEATTLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIE LEVY MD (OWNER)
(206) 248-5020
Entity
Organization
Contact information
Practice address
13610 1ST AVE S, BURIEN, WA 98168-3404
(206) 248-5020
(206) 244-8425
Mailing address
13610 1ST AVE S, BURIEN, WA 98168-3404
(206) 248-5020
(206) 244-8425
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00000034385
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1742402
—
WA
05
—
7089576 GRP
—
WA
05
—
8214637
—
WA
Enumeration date
06/14/2005
Last updated
06/18/2012
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