Provider Demographics
NPI:1225247729
Name:ELIAZ, ISAAC GABRIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:GABRIEL
Last Name:ELIAZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:7064 CORLINE CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4528
Mailing Address - Country:US
Mailing Address - Phone:707-829-5900
Mailing Address - Fax:707-829-5282
Practice Address - Street 1:7064 CORLINE CT
Practice Address - Street 2:SUITE A
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-4528
Practice Address - Country:US
Practice Address - Phone:707-829-5900
Practice Address - Fax:707-829-5282
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA733902083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine