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NPI Code Detail

MEDICARE: DORIA EASTER-BRYAN DO

MEDICARE:   DORIA  EASTER-BRYAN  DO
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 Physician20A9249CA

General Provider Information

NPI Number : 1881684355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIA EASTER-BRYAN DO
Provider Business Mailing Address
First Line : 10725 INTERNATIONAL DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7967
Country : US
Telephone Number : 916-631-2188
Fax Number :
Provider Business Practice Location Address
First Line : 10725 INTERNATIONAL DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7967
Country : US
Telephone Number : 916-631-2188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 12/15/2021

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Directions to “ DORIA EASTER-BRYAN DO” Practice Location

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