Individual
CARSON WELTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 S BASCOM AVE, SAN JOSE, CA 95128-2603
(888) 334-1000
(408) 885-6718
Mailing address
750 S BASCOM AVE, SAN JOSE, CA 95128-2603
(888) 334-1000
(408) 885-6718
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A118872
CA
Other
Enumeration date
11/30/2011
Last updated
07/17/2014
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