Individual
KEITH DAVID EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00038638
WA
207RX0202X
Medical Oncology Physician
Primary
MD00038638
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231048
L&I
WA
05
—
1982784955
—
WA
01
—
233570
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/16/2006
Last updated
10/25/2011
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