Organization
SKIN SURGERY CLINIC
Active
Organization
SKIN SURGERY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CHANG (REPRESENTATIVE)
(206) 486-5189
Entity
Organization
Contact information
Practice address
1414 116TH AVE NE STE D, BELLEVUE, WA 98004-3801
(206) 486-5189
Mailing address
1414 116TH AVE NE STE D, BELLEVUE, WA 98004-3801
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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