Brendt D. Carlson, MD INC DBA Mar Monte Medical Clinic
NPI #1174885610 in Watsonville, California
Provider Information
- NPI Number
- 1174885610
- Entity Type
- Organization
- Organization Name
- Brendt D. Carlson, MD INC DBA Mar Monte Medical Clinic
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jun 11, 2012
- Last Updated
- Jun 11, 2012
Practice Location
- Address
- 846 FREEDOM BLVD
- City
- Watsonville
- State
- California
- ZIP Code
- 95076-3814
- Phone
- (831) 761-7225
Authorized Official
- Name
- ALMA CASTILLO
- Title
- CLINIC MANAGER
- Phone
- (831) 761-7225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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