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Individual

EDWARD H DUMONTIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
907 GEORGIANA ST, PORT ANGELES, WA 98362-3911
(360) 565-0999
(360) 565-0852
Mailing address
PO BOX 850, PORT ANGELES, WA 98362-0146
(360) 565-0999
(360) 565-0852

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61293488
WA
207Q00000X
Family Medicine Physician
R3J59
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202612313
MO
Enumeration date
12/22/2005
Last updated
02/06/2024
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