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Organization

BRANDITH G IRWIN MD PLLC

Active
Other names
Madison Skin and Laser Center
Organization subpart
No

Provider details

NPI number
Authorized official
BRANDITH IRWIN MD (OWNER)
(909) 335-8638
Entity
Organization

Contact information

Practice address
1101 MADISON ST, SUITE 1490, SEATTLE, WA 98104-1306
(909) 335-8638
(909) 335-8644
Mailing address
PO BOX 34960, SEATTLE, WA 98124-1960

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
12/29/2006
Last updated
06/20/2008
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