Provider Demographics
NPI:1558047035
Name:RMD MEDICAL AESTHETICS CLINIC, PLLC
Entity Type:Organization
Organization Name:RMD MEDICAL AESTHETICS CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TIANNA
Authorized Official - Middle Name:TSITSIS
Authorized Official - Last Name:EITNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-982-2620
Mailing Address - Street 1:325 E. GEORGE HOPPER RD.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-3154
Mailing Address - Country:US
Mailing Address - Phone:360-982-2620
Mailing Address - Fax:
Practice Address - Street 1:325 E. GEORGE HOPPER RD.
Practice Address - Street 2:SUITE 101
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-3154
Practice Address - Country:US
Practice Address - Phone:360-982-2620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty