Organization
JOHN W CARRIGG MD A PROF CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WYATT CARRIGG M.D. (PRESIDENT)
(925) 254-6710
Entity
Organization
Contact information
Practice address
12 CAMINO ENCINAS, SUITE 14, ORINDA, CA 94563-3395
(925) 254-6710
(925) 254-6713
Mailing address
12 CAMINO ENCINAS, SUITE 14, ORINDA, CA 94563-3395
(925) 254-6710
(925) 254-6713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C032894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C032894
STATE LICENSE
CA
Enumeration date
07/30/2006
Last updated
08/22/2020
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