Individual
DIETER R. EPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
222 STATE AVE N, KENT, WA 98030-4544
(253) 372-7788
Mailing address
222 STATE AVE N, KENT, WA 98030-4544
(253) 372-7788
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
212286
NY
207P00000X
Emergency Medicine Physician
Primary
OP00002224
WA
207Q00000X
Family Medicine Physician
OP00002224
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881323
—
NY
05
—
8511263
—
WA
Enumeration date
02/08/2007
Last updated
01/28/2014
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