Organization
SKIN CANCER CLINIC OF SEATTLE INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL FADER MD (OWNER)
(909) 335-8638
Entity
Organization
Contact information
Practice address
1801 NW MARKET ST, SUITE 107, SEATTLE, WA 98107-3987
(909) 335-8638
Mailing address
PO BOX 24922, SEATTLE, WA 98124-0922
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
02/28/2011
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