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Individual

RICHARD CYRUS EASTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
822 PINE ST, MOUNT SHASTA, CA 96067-2137
(530) 926-5261
(530) 926-1077
Mailing address
PO BOX 339, MOUNT SHASTA, CA 96067-0339
(530) 926-5261
(530) 926-1077

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G32801
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G32801
CA

Other

Enumeration date
01/08/2009
Last updated
12/17/2010
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