Individual
DR. DAVID THEODORE GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2911 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1815
(650) 380-1839
Mailing address
2911 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1815
(831) 477-2350
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A172235
CA
Other
Enumeration date
04/18/2013
Last updated
09/21/2021
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