NPI 1033500806

Bainbridge Skin Surgery and Consultative Dermatology PLLC

Organisation MOHS-Micrographic Surgery Physician Bainbridge Island, WA

Practice location

Address: 271 Wyatt Way NE Suite 108, Bainbridge Island, WA 98110-2873
Phone: (206) 842-5666
Fax: (425) 742-8516

Authorised official

Name: Duane C Whitaker
Title: Owner
Phone: (206) 842-5666

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 46124 (WA)

Other Dermatology providers in Washington →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 46124 (WA)

Registry record

NPI: 1033500806
Entity type: Organization
NPI issued: 13 Feb 2015
Record last updated: 29 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.