Organization
STANTON A ERWIN MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON A ERWIN M.D. (PRESIDENT)
(253) 428-0205
Entity
Organization
Contact information
Practice address
316 MARTIN LUTHER KING JR WAY STE 305, TACOMA, WA 98405-4260
(253) 428-0205
Mailing address
316 MARTIN LUTHER KING JR WAY STE 305, TACOMA, WA 98405-4260
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00028363
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1064583
—
WA
Enumeration date
10/13/2011
Last updated
10/13/2011
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