Provider Demographics
NPI:1144567587
Name:FEIGL, ERIC O (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:O
Last Name:FEIGL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PHYSIOLOGY 357290 HEALTH SCI BLDG G424
Mailing Address - Street 2:UNIVERSITY OF WASHINGTON
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7290
Mailing Address - Country:US
Mailing Address - Phone:206-543-1496
Mailing Address - Fax:206-685-0619
Practice Address - Street 1:PHYSIOLOGY 357290 HEALTH SCI BLDG G424
Practice Address - Street 2:UNIVERSITY OF WASHINGTON
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7290
Practice Address - Country:US
Practice Address - Phone:206-543-1496
Practice Address - Fax:206-685-0619
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD 00011590208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1234567890Medicare NSC