NELS DAVIS CARROLL
Individual Provider (NPI-1)
Active
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Information
- NPI Number
1396122099- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 227 W JANSS RD STE 340, THOUSAND OAKS, CA, 913601879
- Phone
- (805) 852-9100
Specialties & Taxonomies
Thoracic Surgery (Cardiothoracic Vascular Surgery)
License: WA #MD61172512
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Primary License: CA #A192800
All Addresses
MAILING
PO BOX 743111
ATLANTA, GA, 303743111