Individual
ELEAZAR S. DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3975 JACKSON ST STE 200, RIVERSIDE, CA 92503-3947
(951) 353-2769
(951) 353-2779
Mailing address
PO BOX 2407, RIVERSIDE, CA 92516-2407
(808) 353-2769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
AMD671
HI
363A00000X
Physician Assistant
Primary
PA59155
CA
Other
Enumeration date
04/14/2016
Last updated
10/13/2021
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