Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 002978-1 | NY |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 215435 | MA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 9855 | ND |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A73867 | CA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | ME115298 | FL |
NPI | 1083723803 |
---|---|
Provider Name | Eric J Keyser |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Redding, CA 96001-3030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 20/06/2019 |