Provider Demographics
NPI:1255766614
Name:CHRISTIE, ELDONNA MAY (M D)
Entity type:Individual
Prefix:DR
First Name:ELDONNA
Middle Name:MAY
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3160 MOUNT VEEDER RD
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-9715
Mailing Address - Country:US
Mailing Address - Phone:808-652-5636
Mailing Address - Fax:415-532-1883
Practice Address - Street 1:3160 MT. VEEDER RD.
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558
Practice Address - Country:US
Practice Address - Phone:808-652-5636
Practice Address - Fax:415-532-1883
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGFE28545207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology