Male or Other

Dr. Eric D. Dant M.D.

Family Medicine Physician in Medical Lake, WA(View on Map)

Full Name

Dr. Eric D. Dant M.D.

NPI Number

1699746404

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/30/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Idaho
Washington

License Number

M8280
MD00030830

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 800
850 MAPLE STREET

City

Medical Lake
Medical Lake

State

WA
WA

Postal Code

99022-0800
99022-0800

Country

US
US

Telephone Number

(509) 565-4000
(509) 565-4000

Identifiers

Identifier

806187300
806187300
8147910
8147910

Identifier State

ID
ID
WA
WA

Identifier Issuer

BOUNDARY COMMUNITY HOSP
Unknown
MEDICAID
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/20/2016

Provider Address

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