Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A88621 | CA |
NPI | 1285793836 |
---|---|
Provider Name | Scott David Eaton |
First Address | Livermore, CA 94550-4200 |
Second Address | Livermore, CA 94550-4200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 11/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A88621 | (05) | CA |
I26276 | (02) | CA |