Individual
ERIC S DILDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2275 NE DOCTORS DR., SUITE 5, BEND, OR 97701
(541) 706-7715
(541) 706-7742
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 706-7715
(541) 706-7742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01169
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00479095
RAILROAD MEDICARE
OR
01
—
11745011
CAQH ID
OR
05
—
500608143
—
OR
Enumeration date
11/14/2006
Last updated
04/04/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us