Individual
NATHAN B ECKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
310 S HALCYON RD STE 101, ARROYO GRANDE, CA 93420-3863
(805) 481-0881
(805) 481-0835
Mailing address
310 S HALCYON RD STE 101, ARROYO GRANDE, CA 93420-3863
(805) 481-0881
(805) 481-0835
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4678
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E46780
—
CA
01
—
00E46780
BLUE SHIELD
CA
01
—
E4678
BLUE CROSS
CA
Enumeration date
02/26/2007
Last updated
05/29/2015
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