Individual
DR. ERIC W TRUBSCHENCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
917 E FIR AVE, LOMPOC, CA 93436-7919
(805) 736-2510
(805) 736-4224
Mailing address
917 E FIR AVE, LOMPOC, CA 93436-7919
(805) 736-2510
(805) 736-4224
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
223604
MA
2085R0202X
Diagnostic Radiology Physician
39315
KY
2085R0202X
Diagnostic Radiology Physician
Primary
G34762
CA
2085R0202X
Diagnostic Radiology Physician
MD425699
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358791
BLUE CROSS/BLUE SHIELD
KY
05
—
64096977
—
KY
Enumeration date
01/28/2006
Last updated
03/04/2008
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