Provider Demographics
NPI:1407380579
Name:EITEL, ANDREW PARKHURST (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:PARKHURST
Last Name:EITEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 PACIFIC ST BOX 356540 UNIVERSITY OF WASHINGTON GME
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-0001
Mailing Address - Country:US
Mailing Address - Phone:206-543-2474
Mailing Address - Fax:206-543-2958
Practice Address - Street 1:1959 PACIFIC ST. B.O.X 356540
Practice Address - Street 2:UNIVERSITY OF WASHINGTON
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195
Practice Address - Country:US
Practice Address - Phone:206-543-2474
Practice Address - Fax:206-543-2958
Is Sole Proprietor?:No
Enumeration Date:2017-04-17
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program