Individual
MR. KEITH ALAN EILERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64 EAST DAILY DRIVE, CAMARILLO, CA 93010
(805) 384-8071
(805) 437-8717
Mailing address
64 EAST DAILY DRIVE, CAMARILLO, CA 93010
(805) 384-8071
(805) 437-8717
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G43738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ16399Z
BLUE SHIELD
CA
Enumeration date
01/03/2007
Last updated
04/13/2016
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