Organization
THE POLYCLINIC
Active
Other names
The Polyclinic Mohs Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD DAVID (CEO)
(206) 329-1760
Entity
Organization
Contact information
Practice address
1229 MADISON ST, SUITE 1090, SEATTLE, WA 98104-3586
(206) 860-5595
(206) 720-7447
Mailing address
1229 MADISON ST, SUITE 1090, SEATTLE, WA 98104-3586
(206) 860-5595
(206) 720-7447
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/27/2017
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