Organization
INNOVATIVE WOUND HEALING & DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LEVY MD (PROVIDER)
(800) 425-2805
Entity
Organization
Contact information
Practice address
21137 SR 410 E STE I, BONNEY LAKE, WA 98391-8775
(800) 425-2805
(855) 673-1403
Mailing address
21137 SR 410 E STE I, BONNEY LAKE, WA 98391-8775
(800) 425-2805
(855) 673-1403
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
09/16/2024
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