Organization
ANACORTES DERMATOLOGY PC INC
Active
Other names
Anacortes Dermatology PC INC, Anacortes Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WIRT ANDERSON HINES MD (PRESIDENT)
(360) 395-8768
Entity
Organization
Contact information
Practice address
1801 COMMERCIAL AVE, ANACORTES, WA 98221
(360) 399-6036
Mailing address
1801 COMMERCIAL AVE, ANACORTES, WA 98221
(360) 399-6036
(360) 588-1691
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
Primary
—
—
261Q00000X
Clinic/Center
MD00045767
WA
Other
Enumeration date
02/06/2012
Last updated
02/27/2024
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