DALE ETHAN EKSTRUM

LOMPOC, CA
NPI1225106602
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  G69286)
Enumeration Date2006-12-01
Last Update Date2015-12-26
Business Address
Dr. DALE ETHAN EKSTRUM MD
217 WEST CENTRAL AVENUE SUITE G
LOMPOC, CA 93436-2830
Phone number: 805-735-4292
Mailing Address
Dr. DALE ETHAN EKSTRUM MD
117 WEST BUNNY AVENUE
SANTA MARIA, CA 93458-2805
Phone number: 805-735-4292
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