Individual
AUSTON DOUGLAS ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5638
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
61271735
WA
208D00000X
General Practice Physician
0101268327
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2018
Last updated
10/30/2023
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