Individual
DR. DAVID SAMUEL MIZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2271 S. DEPOT STREET, SANTA MARIA, CA 93455
(805) 922-0561
Mailing address
1400 E CHURCH ST, SANTA MARIA, CA 93454-5906
(805) 739-3114
(805) 739-3060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A22003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A220030
—
CA
01
—
A22003
MED LICENSE
CA
Enumeration date
07/15/2006
Last updated
01/08/2019
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