Individual
DAVID EIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 STATE AVE N, KENT, WA 98030-4544
(253) 372-7788
Mailing address
PO BOX 5299, TACOMA, WA 98415-0299
(253) 876-8111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027812
WA
Other
Enumeration date
07/21/2006
Last updated
09/10/2010
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