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Individual

ROBERT LOGAN AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
525 E MICHELTORENA ST STE A, SANTA BARBARA, CA 93103-4211
(805) 963-1648
(805) 965-5214
Mailing address
525 E MICHELTORENA ST STE A, SANTA BARBARA, CA 93103-4211
(805) 963-1648
(805) 965-5214

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A52052
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A52052
CA

Other

Enumeration date
09/21/2006
Last updated
06/06/2022
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