NPI 1215923354

Jerry D. Eisner, MD

Practitioner Dermatology Physician Mount Vernon, WA

Practice location

Address: 1400 E. Kincaid St. Skagit Regional Clinics, Mount Vernon, WA 98274-4127
Phone: (360) 814-6200
Fax: (360) 814-6210
Mailing address: 1400 E. Kincaid St. Attn: Credentialing, Mount Vernon, WA 98274-4127

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD00014819 (WA)

Other Dermatology providers in Washington →

Registry record

NPI: 1215923354
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2005
Record last updated: 5 Oct 2012

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.