Individual
MARIO EDUARDO EYZAGUIRRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4077 5TH AVE, SAN DIEGO, CA 92103-2105
(619) 260-7046
(619) 686-3843
Mailing address
5626 SANDBURG AVE, SAN DIEGO, CA 92122-4132
(619) 260-7046
(619) 686-3843
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A42572
CA
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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