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Individual

DR. THOMAS W EASTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
521 EAST ELDER ST, #104, FALLBROOK, CA 92028
(760) 728-9560
(760) 728-9020
Mailing address
521 EAST ELDER ST, #104, FALLBROOK, CA 92028
(760) 728-9560
(760) 728-9020

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
20A4364
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00AX43640
MEDICAL
CA
01
GR0050840
MEDICAL GROUP #
CA
Enumeration date
01/19/2006
Last updated
12/06/2012
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