Individual
ROBERT MORTON CARROLL X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2241 CENTURY HL, LOS ANGELES, CA 90067-3506
(310) 435-1772
Mailing address
2241 CENTURY HL, LOS ANGELES, CA 90067-3506
(310) 435-1772
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
C28429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C28429
THANKS
CA
Enumeration date
04/09/2020
Last updated
04/09/2020
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