Individual
DR. DWIGHT CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2665 TALLANT RD, SANTA BARBARA, CA 93105-4830
(805) 682-1567
Mailing address
2665 TALLANT RD, SANTA BARBARA, CA 93105-4830
(805) 682-1567
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G11009
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G11009
CALIFORNIA LICENSE
CA
Enumeration date
06/13/2007
Last updated
07/08/2007
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