Provider Demographics
NPI:1861608820
Name:EISER, CHARLES (DPM)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:
Last Name:EISER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 MIDDLEFIELD RD
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2920
Mailing Address - Country:US
Mailing Address - Phone:650-323-1300
Mailing Address - Fax:
Practice Address - Street 1:853 MIDDLEFIELD RD
Practice Address - Street 2:SUITE # 3
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2920
Practice Address - Country:US
Practice Address - Phone:650-323-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE 3337213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery