Individual
DR. NATHANIEL LEROY EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9321 W THOMAS RD STE 325, PHOENIX, AZ 85037-3396
(623) 936-5406
(623) 936-5479
Mailing address
2320 N 3RD ST, PHOENIX, AZ 85004-1303
(602) 258-9900
(602) 258-9904
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5780
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDS5780
STATE OF ALASKA MEDICAL BOARD
AK
Enumeration date
08/25/2006
Last updated
03/07/2023
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