Healthcare Provider Details

I. General information

NPI: 1104125343
Provider Name (Legal Business Name): ELEANOR CURTIS MD, MPVM, FACS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELEANOR HATTERY M.D., M.P.V.M,

II. Dates (important events)

Enumeration Date: 03/25/2011
Last Update Date: 03/09/2022
Certification Date: 03/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 STOCKTON BLVD
SACRAMENTO CA
95817-9581
US

IV. Provider business mailing address

2335 STOCKTON BLVD
SACRAMENTO CA
95817
US

V. Phone/Fax

Practice location:
  • Phone: 513-448-8248
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberA124754
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberA124754
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2086H0002X
TaxonomyHospice and Palliative Medicine (Surgery) Physician
License NumberA124754
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: