| NPI | 1851530646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R CARLSON Physician 831-771-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2020-03-19 |