Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | ||
Y | 222Z00000X | Podiatrist | ||
N | 224P00000X | Prosthetist |
NPI | 1003247545 |
---|---|
Provider Name | Eric Baron |
First Address | Santa Barbara, CA 93105-3304 |
Second Address | Santa Barbara, CA 93105-3304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2013 |
Last Update Date | 10/12/2013 |