Individual
DAVID ANISH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 CHANTICLEER AVE, SANTA CRUZ, CA 95065-1816
(831) 477-2288
Mailing address
PO BOX 1833, SANTA CRUZ, CA 95061-1833
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G51647
CA
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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