DR. Carla Collins Gorum, MD

NPI #1679560197 in Capitola, California

Provider Information

NPI Number: 1679560197
Entity Type: Individual
Name: DR. Carla Collins Gorum, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Sep 29, 2005
Last Updated: Nov 2, 2012

Practice Location

Address: 1820 41ST AVE
Address 2: SUITE D
City: Capitola
State: California
ZIP Code: 95010-2516
Phone: (831) 476-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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