| Eppel Family Medicine Llc | |
|
1950 Pottery Ave Ste 140 Port Orchard WA 98366-2592 | |
| (360) 876-5440 | |
| (360) 876-0718 |
| Full Name | Eppel Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1950 Pottery Ave, Port Orchard, Washington |
| Authorized Official Name and Position | Wendie Pond (BILLING MANAGER) |
| Authorized Official Contact | 3604790508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eppel Family Medicine Llc 1950 Pottery Ave Ste 140 Port Orchard WA 98366-2592 Ph: (360) 876-5440 | Eppel Family Medicine Llc 1950 Pottery Ave Ste 140 Port Orchard WA 98366-2592 Ph: (360) 876-5440 |
| NPI Number | 1134472947 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 10/17/2012 |
| Medicare PECOS PAC ID | 3870748122 |
|---|---|
| Medicare Enrollment ID | O20130313000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134472947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 1977 (Washington) | Primary |
| Provider Name | Dieter H Eppel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710932934 PECOS PAC ID: 3173534427 Enrollment ID: I20060526000028 |
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