Individual
DAVID ERAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3161
Mailing address
736 BENT HOLLOW CT, MOORE, SC 29369
(864) 293-6157
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01085454A
IN
207P00000X
Emergency Medicine Physician
54002
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2018
Last updated
08/08/2022
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