Eidelson MD LLC
NPI #1245011907 in Elk Grove, California
Provider Information
- NPI Number
- 1245011907
- Entity Type
- Organization
- Organization Name
- Eidelson MD LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Oct 9, 2023
- Last Updated
- Oct 9, 2023
Practice Location
- Address
- 9765 CANERIA WAY
- City
- Elk Grove
- State
- California
- ZIP Code
- 95757-6225
- Phone
- (805) 453-9178
Authorized Official
- Name
- DR. JOEL R EIDELSON, MD
- Title
- OWNER
- Phone
- (805) 453-9178
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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