Organization
THE GALLERY OF COSMETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DYANNE K MIDDAUGH (PRACTICE MANAGER)
(425) 775-3561
Entity
Organization
Contact information
Practice address
3500 188TH ST SW, SUITE 670, LYNNWOOD, WA 98037-4716
(425) 775-3561
(425) 672-1385
Mailing address
3500 188TH ST SW, SUITE 670, LYNNWOOD, WA 98037-4716
(425) 775-3561
(425) 672-1385
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43154
WA
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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