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Individual

MICHAEL PATTEN CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1020 29TH ST, SUITE 680, SACRAMENTO, CA 95816-5125
(916) 453-3313
(916) 453-3313
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
32926
AZ
207RH0003X
Hematology & Oncology Physician
Primary
G88137
CA
207RH0003X
Hematology & Oncology Physician
K0670
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
246448
AZ
01
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
02/09/2006
Last updated
08/17/2015
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