DR. Elisha Blackmar Van Deusen IV, D.C.
NPI #1265445837 in Fountain Valley, California
Provider Information
- NPI Number
- 1265445837
- Entity Type
- Individual
- Name
- DR. Elisha Blackmar Van Deusen IV, D.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Aug 14, 2006
- Last Updated
- Apr 17, 2015
Practice Location
- Address
- 17220 NEWHOPE ST
- Address 2
- SUITE 123
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-4272
- Phone
- (714) 556-6966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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