Healthcare Provider Details

I. General information

NPI: 1003037185
Provider Name (Legal Business Name): ERIC R DRITSAS MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7005 N MAPLE #108
FRESNO CA
93720
US

IV. Provider business mailing address

7005 N MAPLE #108
FRESNO CA
93720
US

V. Phone/Fax

Practice location:
  • Phone: 559-450-4545
  • Fax: 559-450-4555
Mailing address:
  • Phone: 559-450-4545
  • Fax: 559-450-4555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC R DRITSAS
Title or Position: SURGEON
Credential: MD
Phone: 559-450-4545