Provider First Line Business Practice Location Address:
1730 MINOR AVENUE
Provider Second Line Business Practice Location Address:
STE 1000 DERMATOLOGY ASSOCIATES PLLC
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98101-1498
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-267-2100
Provider Business Practice Location Address Fax Number:
206-267-2101
Provider Enumeration Date:
08/04/2006