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Organization

FAIRFIELD ON-CALL SPECIALISTS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELWOOD PAUL REID MD (CEO)
(866) 885-5522
Entity
Organization

Contact information

Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-5082
(707) 429-6937
Mailing address
PO BOX 79610, CITY OF INDUSTRY, CA 91716-9610
(330) 470-3700
(330) 497-7940

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
207V00000X
Obstetrics & Gynecology Physician
Primary
207X00000X
Orthopaedic Surgery Physician
208600000X
Surgery Physician

Other

Enumeration date
01/09/2008
Last updated
08/11/2011
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