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NPI Code Detail

MEDICARE: ERIC TEPPER, MD

MEDICARE: ERIC TEPPER, MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1154038420
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC TEPPER, MD
Provider Business Mailing Address
First Line : 5030 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95819-3751
Country : US
Telephone Number : 916-455-1155
Fax Number :
Provider Business Practice Location Address
First Line : 5030 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95819-3751
Country : US
Telephone Number : 916-455-1155
Fax Number :
Authorized Official
Title or Position : OWNER/ PROVIDER
Name : ERIC GLEN TEPPER
Credential : MD
Telephone Number : 916-455-1155
Provider Enumeration Date : 11/04/2022
Last Update Date : 11/04/2022

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Directions to “ERIC TEPPER, MD ” Practice Location

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