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Organization
MICHAEL S HAVERTY MD INC
Active
Organization
MICHAEL S HAVERTY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S HAVERTY MD (OWNER)
(805) 348-3910
Entity
Organization
Contact information
Practice address
2342 PROFESSIONAL PKWY, SUITE 260, SANTA MARIA, CA 93455-1629
(805) 348-3950
(805) 348-9301
Mailing address
2342 PROFESSIONAL PKWY, SUITE 260, SANTA MARIA, CA 93455-1629
(805) 348-3950
(805) 348-9301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G53646
CA
Other
Enumeration date
02/16/2007
Last updated
03/04/2014
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