Provider Demographics
NPI:1962463901
Name:EAVES, DORCAS MOURAY (MD)
Entity Type:Individual
Prefix:DR
First Name:DORCAS
Middle Name:MOURAY
Last Name:EAVES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DORCAS
Other - Middle Name:EAVES
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:21351 EASTGLEN DR
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-3365
Mailing Address - Country:US
Mailing Address - Phone:949-636-5972
Mailing Address - Fax:949-858-0957
Practice Address - Street 1:21351 EASTGLEN DR
Practice Address - Street 2:
Practice Address - City:TRABUCO CANYON
Practice Address - State:CA
Practice Address - Zip Code:92679
Practice Address - Country:US
Practice Address - Phone:949-636-5972
Practice Address - Fax:949-858-0957
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33534207Q00000X, 208600000X, 208D00000X, 207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice