Organization
MODERN DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER D ROGERS MD (OWNER)
(206) 486-2982
Entity
Organization
Contact information
Practice address
1021 MERCER ST, SEATTLE, WA 98109
(206) 486-2982
(206) 973-5380
Mailing address
1021 MERCER ST, SEATTLE, WA 98109
(205) 489-3206
(206) 973-5380
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
60048520
WA
332900000X
Non-Pharmacy Dispensing Site
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Other
Enumeration date
03/11/2015
Last updated
08/04/2022
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