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CARRICK JEAN ADAM M.D., M.S.P.H

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1013137603

Individual Registrant:
 CARRICK JEAN ADAM M.D., M.S.P.H
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: --

Contact information for business:
5963 OAKHILL DR  SANTA MARIA, CA 93455-6001 US
Tel: 805-934-5927  Fax: --

Registration Information:
NPI: 1013137603
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAA63883
Y2083A0300X
CAA63883

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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