Individual
DR. PETER R. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 DIVISADERO ST FL 3, SAN FRANCISCO, CA 94115-3010
(415) 353-7171
(415) 353-7093
Mailing address
1600 DIVISADERO ST, 3RD FLOOR URO ONC PRACTICE, SAN FRANCISCO, CA 94115
(415) 353-7171
(415) 353-7093
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A35750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357500
—
CA
Enumeration date
07/18/2006
Last updated
07/24/2008
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