Individual provider · Type 1 NPI

Eric J. Ewald Jr., MD

Family Medicine Physician · Stateline, NV

NPI number 1114157179 Active

Practice location

155 Highway 50
Stateline, NV 89449

Fax (775) 588-7110

Mailing address

1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207

Other practice locations

  • 401 Paradise Road Suite E, Modesto, CA 95351 · (209) 558-4000

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XA118819 (CA)
Family Medicine Physician Primary 207Q00000X15998 (NV)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

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About NPI 1114157179

Eric J. Ewald Jr., MD's National Provider Identifier is 1114157179, issued on Jul 23, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Stateline, NV. The record was last updated on Jul 5, 2018.