Provider Demographics
NPI:1831140615
Name:DASHOW, EDWARD ELIOT (DO)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:ELIOT
Last Name:DASHOW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10807 EVERGREEN TER SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-6701
Mailing Address - Country:US
Mailing Address - Phone:253-584-8695
Mailing Address - Fax:253-552-1789
Practice Address - Street 1:314 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:402
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4250
Practice Address - Country:US
Practice Address - Phone:253-552-1037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00921207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine