Provider Demographics
NPI:1962627745
Name:PANZER, ERIC MARSHALL (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MARSHALL
Last Name:PANZER
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 1:81 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:PORT HADLOCK
Mailing Address - State:WA
Mailing Address - Zip Code:98339-8706
Mailing Address - Country:US
Mailing Address - Phone:808-640-9266
Mailing Address - Fax:888-373-3312
Practice Address - Street 1:64 N WATER ST
Practice Address - Street 2:
Practice Address - City:PORT HADLOCK
Practice Address - State:WA
Practice Address - Zip Code:98339-8706
Practice Address - Country:US
Practice Address - Phone:808-640-9266
Practice Address - Fax:888-373-3312
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD14835207P00000X
WAMD60290516207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine