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Organization
ELLIOTT EISENBUD, MD INC.
Active
Organization
ELLIOTT EISENBUD, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY RUSTIN (OFFICE MANAGER)
(916) 966-6139
Entity
Organization
Contact information
Practice address
6600 MERCY CT STE 110, FAIR OAKS, CA 95628-3150
(916) 966-5404
(916) 966-0932
Mailing address
6600 MERCY CT STE 110, FAIR OAKS, CA 95628-3150
(916) 966-5404
(916) 966-0932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G23760
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
G23760
CA
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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