Individual
JOHN ELDRED DISIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3116 HARRISON AVE, EUREKA, CA 95503-5638
(707) 444-3885
(707) 444-7843
Mailing address
3116 HARRISON AVE, EUREKA, CA 95503-5638
(707) 444-3885
(707) 444-7843
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C42437
CA
Other
Enumeration date
02/07/2006
Last updated
06/29/2021
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