Individual
BRUCE EISENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5524
Mailing address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G69536
CA
Other
Enumeration date
01/17/2006
Last updated
05/18/2011
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