Individual
JOHN GEORGE MARDIAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 W JUNIPERO ST, SANTA BARBARA, CA 93105-4305
(805) 448-5825
(805) 569-0079
Mailing address
PO BOX 30820, SANTA BARBARA, CA 93130-0820
(805) 448-5825
(805) 569-0079
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G44393
CA
2085R0204X
Vascular & Interventional Radiology Physician
G44393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G443930
—
CA
Enumeration date
07/22/2005
Last updated
01/25/2012
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