Individual
EARL DAN BARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4225 HOYT, STE C, EVERETT, WA 98203
(425) 252-2313
(425) 258-1182
Mailing address
4225 HOYT, STE C, EVERETT, WA 98203
(425) 252-2313
(425) 258-1182
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
WH20734
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027812
—
WA
01
—
20734
WA STATE
—
01
—
AB2037566
DEH
—
Enumeration date
07/24/2006
Last updated
07/08/2007
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