Individual
DR. ERIK DAVID AXENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, GME OFFICE CSP 21005, LOMA LINDA, CA 92354
(909) 558-4085
Mailing address
11234 ANDERSON ST, GME OFFICE CSP 21005, LOMA LINDA, CA 92354
(909) 558-4085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P9046
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2011
Last updated
05/27/2015
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