Individual
DR. ERIC RUSSEL DRITSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8128 PARK LANE, SUITE 130, DALLAS, TX 75231-5908
(214) 361-1222
(214) 361-1205
Mailing address
2001 BUTTERFIELD ROAD, SUITE 300, DOWNERS GROVE, IL 60515-1069
(630) 725-2700
(630) 725-2783
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A77233
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500612383
—
OR
Enumeration date
09/13/2006
Last updated
05/07/2015
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