Russell B Caldwell MD PC
Dermatology in Bellevue, WA. Organization (NPI-2).
NPI number1962500181
StatusActive
Last updated in NPPESJul 7, 2011
Details
- NPI
- 1962500181
- Entity type
- Organization (NPI-2)
- Legal business name
- Russell B Caldwell MD PC
- Organization subpart
- No
- Enumeration date
- Sep 20, 2006
- Last updated
- Jul 7, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | MD00015594 | WA | Yes |
Practice location
1810 116th Ave NeSuite 100
Bellevue, WA 98004-3058
Phone 425-455-2276 · Fax 425-455-1511
Mailing address
1810 116th Ave NeSuite 100
Bellevue, WA 98004-3058
Phone 425-455-2276 · Fax 425-455-1511
Authorized official
Russell B Caldwell
President/Owner
4254547546
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