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Individual
ERIC ROBERT ANDERSON
Active
Individual
ERIC ROBERT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-10358
ID
207Q00000X
Family Medicine Physician
MD00045927
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD00045927
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807782300
—
ID
05
—
8451221
—
WA
Enumeration date
07/07/2005
Last updated
10/05/2023
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