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Individual

AUTUMN DAWN EGLITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1875 S GRANT ST STE 760, SAN MATEO, CA 94402-2670
(888) 227-8884
Mailing address
1875 S GRANT ST STE 760, SAN MATEO, CA 94402-2670
(888) 227-8884

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
276876
MA
207Q00000X
Family Medicine Physician
MD192399
OR
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A150389
CA

Other

Enumeration date
05/15/2014
Last updated
11/05/2025
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