Individual
ERIC JEFFREY SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1428 PHILLIPS LN, SUITE 203, SAN LUIS OBISPO, CA 93401-2537
(805) 748-8087
Mailing address
1428 PHILLIPS LN, SUITE 203, SAN LUIS OBISPO, CA 93401-2537
(805) 748-8087
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G52430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G524300
—
CA
01
—
131173001
CIGNA
—
Enumeration date
12/22/2005
Last updated
09/14/2011
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