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Individual

DR. ELDRIDGE DARELL BATUYONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
450 BROADWAY ST, MAILCODE 6342, REDWOOD CITY, CA 94063-3132
(650) 863-8302
Mailing address
3033 LA SELVA STREET, APARTMENT 104, SAN MATEO, CA 94403
(650) 863-8302

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A122469
CA

Other

Enumeration date
08/28/2012
Last updated
08/28/2012
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