Organization
ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL K SEARS M.D. (MEDICAL DIRECTOR)
(509) 456-7414
Entity
Organization
Contact information
Practice address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763
Mailing address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207N00000X
WA
207ND0900X
Dermatopathology Physician
207ND0900X
WA
207NS0135X
Procedural Dermatology Physician
207NS0135X
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7075799
—
WA
Enumeration date
02/28/2006
Last updated
05/11/2016
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