Individual
DR. JEFFREY S. EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12395 EL CAMINO REAL, SUITE 200, SAN DIEGO, CA 92130-3082
(858) 755-6647
Mailing address
12395 EL CAMINO REAL, SUITE 200, SAN DIEGO, CA 92130-3082
(858) 755-6647
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A61523
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A615230
—
CA
Enumeration date
02/27/2006
Last updated
12/18/2012
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