Individual
DR. DAVID ALLEN SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 GREEN VALLEY ROAD, FREEDOM, CA 95019
(831) 728-2005
(831) 728-3310
Mailing address
204 GREEN VALLEY ROAD, FREEDOM, CA 95019
(831) 728-2005
(831) 728-3310
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G30108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G301080
—
CA
Enumeration date
12/08/2006
Last updated
06/05/2009
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