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Individual

BRIAN P WALCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 W PUEBLO ST, SANTA BARBARA, CA 93105-4353
(805) 682-7111
Mailing address
2410 FLETCHER AVE STE 302, SANTA BARBARA, CA 93105-4877
(805) 569-7820

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036.149400
IL
207T00000X
Neurological Surgery Physician
Primary
A136268
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036149400
STATE LICENSE
IL
01
A136268
STATE LICENSE
CA
Enumeration date
06/10/2008
Last updated
03/26/2026
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