Individual
DR. CARSON BLAKE SCHUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4500
Mailing address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G47790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G477900
BS OF CA
—
05
—
00G477900
—
CA
01
—
G47790
BC OF CA
—
Enumeration date
06/08/2006
Last updated
12/11/2013
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