Organization
MARK E. EASTHAM, M.D.
Active
Organization
MARK E. EASTHAM, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E. EASTHAM (M.D.)
(408) 241-2968
Entity
Organization
Contact information
Practice address
2505 SAMARITAN DR, SUITE 508, SAN JOSE, CA 95124-4006
(408) 241-2968
Mailing address
2505 SAMARITAN DR, SUITE 508, SAN JOSE, CA 95124-4006
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G65379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G653790
—
CA
Enumeration date
05/09/2007
Last updated
08/22/2020
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