| James F. Carroll M.d. Medical Corporation | |
|
421 March Ave Ste D Healdsburg CA 95448-3367 | |
| (707) 433-3321 | |
| (707) 433-0347 |
| Full Name | James F. Carroll M.d. Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 421 March Ave Ste D, Healdsburg, California |
| Authorized Official Name and Position | James F Carroll (PRESIDENT) |
| Authorized Official Contact | 7074333321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James F. Carroll M.d. Medical Corporation 421 March Ave Ste D Healdsburg CA 95448-3367 Ph: (707) 433-3321 | James F. Carroll M.d. Medical Corporation 421 March Ave Ste D Healdsburg CA 95448-3367 Ph: (707) 433-3321 |
| NPI Number | 1780993915 |
|---|---|
| Provider Enumeration Date | 10/05/2010 |
| Last Update Date | 10/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780993915 | NPI | - | NPPES |
| 00A255070 | Medicaid | CA | |
| 00A255070 | Other | MEDICARE PTEN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A25507 (California) | Primary |
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