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Individual
WILLIAM DAVID CARROLL
Active
Individual
WILLIAM DAVID CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A39947
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A39947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A399470
BLUE SHIELD OF CALIFORNIA
CA
05
—
00A399470
—
CA
01
—
110105821
RAILROAD MEDICARE
CA
Enumeration date
07/06/2005
Last updated
02/07/2012
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