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Individual

ALAN S EDELMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 S STRATFORD AVE, SANTA MARIA, CA 93454-5903
(805) 739-3863
(805) 614-2035
Mailing address
504 PLAZA DR, SANTA MARIA, CA 93454-6917
(805) 739-3474
(805) 346-3542

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G46751
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G467510
CA
Enumeration date
08/31/2006
Last updated
10/12/2016
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