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Individual
DR. DOUGLAS ALAN EHRENBERG
Active
Individual
DR. DOUGLAS ALAN EHRENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3463
CA
213ES0000X
Sports Medicine Podiatrist
E3463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E3463
STATE LIC.
CA
Enumeration date
05/21/2006
Last updated
11/03/2008
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