Organization
ERIC T WATERMAN MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC T WATERMAN MD (PRESIDENT)
(425) 656-4200
Entity
Organization
Contact information
Practice address
4300 TALBOT RD S STE 311, RENTON, WA 98055-6238
(425) 656-4200
(425) 656-4258
Mailing address
PO BOX 59532, RENTON, WA 98058-2532
(425) 656-4200
(425) 656-4258
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00029408
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093872947
NPI
—
Enumeration date
10/28/2008
Last updated
04/13/2020
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