Organization
ADVANCED OBGYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL C SPALDING (PRACTICE ADMIN)
(805) 773-3060
Entity
Organization
Contact information
Practice address
5750 TRAFFIC WAY, ATASCADERO, CA 93422-4252
(805) 461-3010
(805) 461-3020
Mailing address
2 JAMES WAY STE 106, PISMO BEACH, CA 93449-4974
(805) 773-3060
(805) 269-0026
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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