Individual
CHARLES DAVID ELDRIDGE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2950 RESEARCH PARK DR, SOQUEL, CA 95073-2000
(831) 458-6272
(831) 458-6276
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95065-1323
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C29613
CA
Other
Enumeration date
07/14/2008
Last updated
02/10/2012
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