Sidney F Whaley Jr
Dermatology in Tacoma, WA. Organization (NPI-2).
NPI number1336129154
StatusActive
Last updated in NPPESOct 4, 2007
Details
- NPI
- 1336129154
- Entity type
- Organization (NPI-2)
- Legal business name
- Sidney F Whaley Jr
- Organization subpart
- No
- Enumeration date
- Jan 18, 2006
- Last updated
- Oct 4, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 10945 | WA | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 10945 | WA | |
| 207ND0900X | Dermatology, Dermatopathology | 10945 | WA |
Practice location
314 Mlk Jr Wy #210Tacoma, WA 98405-4271
Phone 253-383-1529 · Fax 253-593-4344
Mailing address
314 Mlk Jr Wy #210Tacoma, WA 98405-4271
Phone 253-383-1529 · Fax 253-593-4344
Authorized official
Sidney F Whaley
President
2533831529
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