Individual
DR. JOSEPH B OLDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3855 BROAD STREET, STE B, SAN LUIS OBISPO, CA 93401
(805) 545-7881
(805) 548-8785
Mailing address
3855 BROAD STREET, STE B, SAN LUIS OBISPO, CA 93401
(805) 545-7881
(805) 548-8785
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G49343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G49343
MEDICAL LICENSE #
CA
Enumeration date
10/11/2005
Last updated
03/31/2016
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