Individual
ERIK GENTRY VAN EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, BOX 6410, SEATTLE, WA 98195-6410
(206) 685-6660
Mailing address
1959 NE PACIFIC ST, BOX 356410, SEATTLE, WA 98195-6410
(206) 685-6660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00043261
WA
2086S0102X
Surgical Critical Care Physician
MD00043261
WA
2086S0127X
Trauma Surgery Physician
MD00043261
WA
Other
Enumeration date
08/31/2006
Last updated
11/30/2009
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