Individual
DR. CARL HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3609 MISSION AVE, SUITE D, CARMICHAEL, CA 95608-2955
(916) 483-3437
(916) 483-3218
Mailing address
3609 MISSION AVE, SUITE D, CARMICHAEL, CA 95608-2955
(916) 483-3437
(916) 483-3218
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
G9581
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G95810
—
CA
01
—
G9581
MEDICAL LICENSE
CA
Enumeration date
08/30/2006
Last updated
07/09/2007
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