Individual
CARTER ELLIOTT WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 446-1646
Mailing address
300 FIR ST, SAN DIEGO, CA 92101-2327
(619) 446-1646
(858) 636-2032
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
A85194
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A85194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A85194
—
CA
Enumeration date
07/03/2008
Last updated
07/31/2017
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