Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 09-1159 | AZ |
NPI | 1043537004 |
---|---|
Provider Name | Dr. Eric Karl Cerre |
First Address | Chandler, AZ 85224-4354 |
Second Address | Chandler, AZ 85224-4354 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 29/04/2010 |