| NPI | 1235321688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN WAYNE CARLSON Physician 805-543-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G39965) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |