| Elliott Eisenbud, Md Inc. | |
|
6600 Mercy Ct Ste 110 Fair Oaks CA 95628-3150 | |
| (916) 966-5404 | |
| (916) 966-0932 |
| Full Name | Elliott Eisenbud, Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6600 Mercy Ct Ste 110, Fair Oaks, California |
| Authorized Official Name and Position | Tiffany Rustin (OFFICE MANAGER) |
| Authorized Official Contact | 9169666139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott Eisenbud, Md Inc. 6600 Mercy Ct Ste 110 Fair Oaks CA 95628-3150 Ph: (916) 966-5404 | Elliott Eisenbud, Md Inc. 6600 Mercy Ct Ste 110 Fair Oaks CA 95628-3150 Ph: (916) 966-5404 |
| NPI Number | 1609055698 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609055698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G23760 (California) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | G23760 (California) | Secondary |
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