Individual
JOSEPH R EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 ARLINGTON AVE, CALDWELL, ID 83605-4802
(208) 455-3798
Mailing address
19951 MARINER AVE, SUITE160, TORRANCE, CA 90503-1672
(310) 225-3244
(310) 698-7054
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
M9313
ID
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M9313
ID
Other
Enumeration date
06/27/2006
Last updated
09/26/2007
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