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Individual
DOUGLAS OW EATON
Active
Individual
DOUGLAS OW EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G66251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ31887Z
GROUP PTAN
CA
Enumeration date
12/13/2005
Last updated
12/02/2011
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