Provider Demographics
NPI:1710243183
Name:UPDEGROVE, ERIN (DVM)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:UPDEGROVE
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1048 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94710-2135
Mailing Address - Country:US
Mailing Address - Phone:510-548-6684
Mailing Address - Fax:510-841-7387
Practice Address - Street 1:1048 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-2135
Practice Address - Country:US
Practice Address - Phone:510-548-6684
Practice Address - Fax:510-841-7387
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18886174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian