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NPI Code Detail

MEDICARE: ERIC DELMAN DO A PROFESSIONAL CORP

MEDICARE: ERIC DELMAN DO A PROFESSIONAL CORP
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
1208600000XSurgery Physician20A8917CA

General Provider Information

NPI Number : 1124216288
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIC DELMAN DO A PROFESSIONAL CORP
Provider Business Mailing Address
First Line : 1168 LIVE OAK BLVD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-3407
Country : US
Telephone Number : 530-751-7444
Fax Number : 530-751-7428
Provider Business Practice Location Address
First Line : 1168 LIVE OAK BLVD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-3407
Country : US
Telephone Number : 530-751-7444
Fax Number : 530-751-7428
Authorized Official
Title or Position : OWNER
Name : ERIC BENJAMIN DELMAN
Credential : DO
Telephone Number : 530-751-7444
Provider Enumeration Date : 10/12/2007
Last Update Date : 03/26/2015

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Directions to “ERIC DELMAN DO A PROFESSIONAL CORP ” Practice Location

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