Advanced Dermatology and Skin Surgery, PLLC
Organization Active NPI Dermatology Physician · Spokane Valley, WA
NPI 1881660751 · NPPES record last updated May 11, 2016
Key facts
- NPI
- 1881660751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 207N00000X (WA)
- Legal business name
- ADVANCED DERMATOLOGY AND SKIN SURGERY, PLLC
- Practice address
- 1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444 - Phone
- (509) 456-7414
- Fax
- (509) 624-0763
- NPI assigned
- Feb 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Joel K Sears, M.D.
- Title
- Medical Director
- Phone
- (509) 456-7414
Practitioners 1
-
Erin Monica Nulf, PA-C
National Provider Directory
Locations
1825 Pinion Rd
Ste F
Elko, NV 89801
Phone (775) 299-4778
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Elko, NV 89801
Phone (775) 738-8021
607 S Maine St
Fallon, NV 89406
Phone (775) 428-1007
3640 Warren Way
Reno, NV 89509
Phone (775) 336-3634
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | 207N00000X | WA | Yes |
| Dermatopathology Physician |
207ND0900X | 207ND0900X | WA | |
| Procedural Dermatology Physician |
207NS0135X | 207NS0135X | WA |
Addresses
Primary practice location
1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Mailing address
1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone (509) 456-7414
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7075799 | Medicaid | WA |
Other providers in Spokane Valley, WA
- Farhad Adorbehi
- Advanced Allergy Asthma & Immunology
- Advanced Behavioral Health LLC
- Advanced Dermatology and Skin Surgery PLLC
- Advanced Dermatology and Skin Surgery, PLLC
- Advanced Wound Therapy-Wa, PLLC
- Gino Agostinelli
- Sarai Aguilar
- Genavee Rose Aguon
- Brian Ahlquist
All providers in Spokane Valley, WA · Dermatology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.