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Individual

MR. BARRY EIBSCHUTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1039 MURRARY ST, SUITE 200, SAN LUIS OBISPO, CA 93405-2058
(805) 781-0702
(888) 255-4693
Mailing address
1039 MURRARY ST, SUITE 200, SAN LUIS OBISPO, CA 93405-2058
(805) 781-0702
(888) 225-4693

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G78005
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G780050
CA
Enumeration date
06/11/2006
Last updated
09/23/2016
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