Individual
STEVEN W CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1551 BISHOP STREET SUITE 250, SAN LUIS OBISPO, CA 93401
(805) 543-8822
(805) 543-6221
Mailing address
1551 BISHOP STREET SUITE 250, SAN LUIS OBISPO, CA 93401
(805) 543-8822
(805) 543-6221
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G39965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4725418
—
CA
Enumeration date
11/07/2006
Last updated
07/08/2007
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