Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | C40864 | CA |
N | 207VG0400X | Gynecologist | C40864 | CA |
NPI | 1114983848 |
---|---|
Provider Name | Mr. Eugene William Albright JR. |
First Address | Riverside, CA 92501-4018 |
Second Address | Riverside, CA 92501-4090 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 22/08/2014 |