Individual
BRAD LANDON GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
555 CHORRO ST STE A2, SAN LUIS OBISPO, CA 93405-2396
(805) 321-5080
(877) 752-3742
Mailing address
555 CHORRO ST STE A2, SAN LUIS OBISPO, CA 93405-2396
(805) 321-5080
(877) 752-3742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
07/24/2026
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