Individual
ERIC RANDALL DUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
(206) 633-6107
Mailing address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
(206) 633-6107
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA.0007227
CO
363AS0400X
Surgical Physician Assistant
Primary
PA61110143
WA
Other
Enumeration date
07/25/2019
Last updated
04/05/2022
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