Individual
EARL CHRISTOPHER OUTLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 HOSPITAL DR, UKIAH, CA 95482-4531
(360) 672-1401
(707) 535-4311
Mailing address
1241 EL DORADO RD, UKIAH, CA 95482-3680
(360) 672-1401
(707) 535-4311
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C54671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112663
—
WA
Enumeration date
05/16/2006
Last updated
04/13/2017
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