| Eric Dunlop, Do, Inc. | |
|
148 Casa St San Luis Obispo CA 93405-1804 | |
| (805) 752-1255 | |
| Not Available |
| Full Name | Eric Dunlop, Do, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 148 Casa St, San Luis Obispo, California |
| Authorized Official Name and Position | Eric W Dunlop (OWNER PHYSICIAN) |
| Authorized Official Contact | 8057521255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Dunlop, Do, Inc. 148 Casa St San Luis Obispo CA 93405-1804 Ph: (805) 752-1255 | Eric Dunlop, Do, Inc. 148 Casa St San Luis Obispo CA 93405-1804 Ph: (805) 752-1255 |
| NPI Number | 1124478243 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 06/20/2016 |
| Medicare PECOS PAC ID | 3476849159 |
|---|---|
| Medicare Enrollment ID | O20160906002286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124478243 | NPI | - | NPPES |
| 20A11326 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A11326 (California) | Primary |
| Provider Name | Eric W Dunlop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225334618 PECOS PAC ID: 0547447005 Enrollment ID: I20110609000254 |
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