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Individual

DAVID MATTHEW CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 W PUEBLO ST, SANTA BARBARA, CA 93105-4311
(805) 563-5870
(805) 898-3616
Mailing address
PO BOX 62106, SANTA BARBARA, CA 93160-2106
(805) 563-5870
(805) 898-3616

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
A103062
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A1030620
BC/BS OF CA
CA
05
1902133465
CA
Enumeration date
11/04/2009
Last updated
02/03/2015
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