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CARRICK JEAN ADAM M.D., M.S.P.H
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1013137603
Individual Registrant: CARRICK JEAN ADAM M.D., M.S.P.H
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
105 N LINCOLN ST SANTA MARIA, CA 93458-4319 US
Tel: 805-965-1001 Fax: --
Tel: 805-965-1001 Fax: --
Contact information for business:
5963 OAKHILL DR SANTA MARIA, CA 93455-6001 US
Tel: 805-934-5927 Fax: --
Tel: 805-934-5927 Fax: --
Registration Information:
NPI: 1013137603
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | CA | A63883 |
| Y | 2083A0300X | CA | A63883 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
