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Organization
JAMES F. CARROLL M.D. MEDICAL CORPORATION
Active
Organization
JAMES F. CARROLL M.D. MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F CARROLL M.D. (PRESIDENT)
(707) 433-3321
Entity
Organization
Contact information
Practice address
421 MARCH AVE STE D, HEALDSBURG, CA 95448-3367
(707) 433-3321
(707) 433-0347
Mailing address
421 MARCH AVE STE D, HEALDSBURG, CA 95448-3367
(707) 433-3321
(707) 433-0347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A25507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A255070
MEDICARE PTEN
—
05
—
00A255070
—
CA
Enumeration date
10/05/2010
Last updated
10/05/2010
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