Individual
JAMES BERNARD CARRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 GROSSMONT CENTER DRIVE, LA MESA, CA 91944-0158
(619) 740-4492
(619) 740-4418
Mailing address
P.O. BOX 2877, LA MESA, CA 91943-2877
(619) 740-4941
(619) 740-4418
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G39979
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G-39979
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G39979
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WG399790
DHS PPIN
CA
Enumeration date
03/17/2006
Last updated
09/28/2011
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