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Individual

DR. CARL BOYER ERMSHAR JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 WOODLAND RD, STE 302, SAINT HELENA, CA 94574-9501
(707) 963-8860
(707) 963-8861
Mailing address
1001 ADAMS ST, STE 102, SAINT HELENA, CA 94574-1180
(707) 968-2863
(707) 963-9185

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G17012
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G170120
CA
01
040017103
RAILROAD MEDICARE
01
040017107
RAILROAD MEDICARE
01
B005
TRICARE
01
CJ8786
RAILROAD MEDICARE
01
CJ8787
RAILROAD MEDICARE
05
GR0088300
CA
01
ZZZ56084Z
BLUE SHIELD
CA
01
ZZZ61447Z
BLUE SHIELD
CA
Enumeration date
10/03/2006
Last updated
06/12/2012
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