Dale Ethan Ekstrum in Santa Maria - Family Medicine
Dale Ethan Ekstrum - NPI 1225106602
Dale Ethan Ekstrum is a Family Medicine in Santa Maria, California. Dale Ethan Ekstrum practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dale Ethan Ekstrum is 1225106602. The last update date is 2015-12-26.
Dale Ethan Ekstrum's current location address is 117 West Bunny Avenue, Santa Maria, California. You can contact this provider via phone number 8057354292 and fax number 8057354293. The mailing address for Dale Ethan Ekstrum is 117 West Bunny Avenue, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dale Ethan Ekstrum |
|---|---|
| Address | 117 West Bunny Avenue, Santa Maria, California |
| Phone Number | 8057354292 |
| Fax Number | 8057354293 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225106602 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2015-12-26 |
Provider Mailing Address Detail
| Address | 117 West Bunny Avenue |
|---|---|
| City | Santa Maria |
| State | California (CA) |
| Post Code | 934582805 |
| Phone Number | 8057354292 |
| Fax Number | 8057354293 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G69286 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CB207338 | CA | MEDICARE ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dale Ethan Ekstrum?
The Dale Ethan Ekstrum has been issued the NPI (National Provider Identifier) 1225106602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Dale Ethan Ekstrum located?
The Dale Ethan Ekstrum is located at 117 West Bunny Avenue, Santa Maria, CA 934582805.
What is Dale Ethan Ekstrum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dale Ethan Ekstrum is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225106602 to Dale Ethan Ekstrum?
The Centers for Medicare & Medicaid Services assigned the 1225106602 to Dale Ethan Ekstrum on 2006-12-01.
As of what date was the information pertaining to Dale Ethan Ekstrum, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dale Ethan Ekstrum, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-12-26.
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