Individual
DR. EDWARD I. DAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1822 BLACK LAKE BLVD SW, SUITE 102, OLYMPIA, WA 98512-5628
(360) 877-8862
(360) 878-8619
Mailing address
PO BOX 13316, OLYMPIA, WA 98508-3316
(360) 878-8862
(360) 878-8619
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD60025245
WA
2083X0100X
Occupational Medicine Physician
MD60025245
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265158
STATE L&I
WA
Enumeration date
11/01/2006
Last updated
12/24/2013
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