| David V Eastham, MD, MPH | |
|
101 Bodin Circle, Sgqx, Dept Of Radiation Oncology, Travis Afb, CA 94535 | |
| (707) 423-7691 | |
| Not Available |
| Full Name | David V Eastham |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 101 Bodin Circle, Sgqx, Travis Afb, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356412050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | A96202 (California) | Primary |
| 207Q00000X | Family Medicine | A96202 (California) | Secondary |
| Entity Name | Northbay Healthcare Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
| Mailing Address | Practice Location Address |
|---|---|
| David V Eastham, MD, MPH 101 Bodin Circle, Sgqx, Dept Of Radiation Oncology, Travis Afb, CA 94535 Ph: (707) 423-7691 | David V Eastham, MD, MPH 101 Bodin Circle, Sgqx, Dept Of Radiation Oncology, Travis Afb, CA 94535 Ph: (707) 423-7691 |
Dr. Teddy Su, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, 60th Medical Group, Travis Afb, CA 94535 Phone: 707-423-7181 | |
James Odone, Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Dr. Theodore Joseph Jerdee, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgqx, Travis Afb, CA 94535 Phone: 707-423-7182 | |
Winnifred Wong, DO Radiology Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7691 | |
Dr. Marvin Glass Jr., PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5119 | |
Dr. Ely A Wolin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-426-7597 | |
Dr. David Dean Gover, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgqx, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-7182 |