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Individual
DR. ELLIOTT ALLEN MELTZER
Active
Individual
DR. ELLIOTT ALLEN MELTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C39403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740450923
—
CA
05
—
1992755284
—
CA
01
—
ZZZ43143Z
BLUE SHIELD OF CA
CA
Enumeration date
05/10/2006
Last updated
09/10/2010
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