Individual
DR. JESSE ORVAR EHRENCLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27059
SC
207L00000X
Anesthesiology Physician
LL27059
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
27059
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
27059
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270593
—
SC
Enumeration date
10/11/2006
Last updated
10/27/2020
Update your record
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