Organization
PINNACLE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEETTA M GRAY M.D. FAAD FRCPC (SOLE MEMBER)
(425) 999-2628
Entity
Organization
Contact information
Practice address
1515 116TH AVE NE, STE 307, BELLEVUE, WA 98004-3811
(425) 999-2628
(253) 559-9020
Mailing address
PO BOX 3418, KIRKLAND, WA 98083-3418
(425) 999-2628
(253) 559-9020
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD025209MD00035417
WA
Other
Enumeration date
08/30/2009
Last updated
03/23/2015
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