Organization
ERIC DUDENHOFER ARNP PS
Active
Other names
Mid River Skin Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DUDENHOFER ARNP (PRESIDENT/CEO)
(509) 321-4590
Entity
Organization
Contact information
Practice address
1271 HIGHLAND AVE # B, CLARKSTON, WA 99403-2846
(509) 321-4590
Mailing address
PO BOX 193, NINE MILE FALLS, WA 99026-0193
(509) 321-4590
(509) 321-4593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/16/2017
Last updated
06/09/2019
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