Individual
MEGHAN M WALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 W PUEBLO ST, SANTA BARBARA, CA 93105
(805) 681-8911
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 681-1872
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A162238
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A162238
MEDICAL LICENSE
CA
Enumeration date
06/20/2011
Last updated
08/12/2019
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