Individual
DR. ERIC SHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 985-6403
(253) 985-2948
Mailing address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 985-6403
(253) 985-2948
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61149390
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2083767
—
WA
Enumeration date
03/27/2017
Last updated
11/03/2023
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