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Erik Brendan Domas, MD
Student in an Organized Health Care Education/Training Program in Tacoma, Washington
NPI 1336883313

Erik Brendan Domas is a Student in an Organized Health Care Education/Training Program based in Tacoma, WA. Erik Brendan Domas practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Erik Brendan Domas is 1336883313 and holds a License No. ML61299130 (Washington).

The current practice location address for Erik Brendan Domas is 1717 S J St, Tacoma, WA and can be reached out via phone at 253-426-4101.

Location: 1717 S J St, Tacoma, WA, 98406-1713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336883313
Provider Name
Erik Brendan Domas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1717 S J St, Tacoma, WA, 98406-1713
Phone Number
253-426-4101
Fax Number
Provider Enumeration Date
04/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1717 S J St
City
Tacoma
State
Washington
Zip
98405-4933
Phone Number
253-426-4101
Fax Number
person
Provider Business Mailing Address Details
Address
1717 S J St
City
Tacoma
State
Washington
Zip
98405-4933
Phone Number
253-426-4101
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ML61299130 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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