person
Dr. Brian David O'carroll, DPM
Foot & Ankle Surgery Podiatrist in Pismo Beach, California
NPI 1336133768

Brian David O'carroll is a Foot & Ankle Surgery Podiatrist based in Pismo Beach, CA and is specialized in Foot & Ankle Surgery. Brian David O'carroll practices in Pismo Beach, CA and has the professional credentials of DPM. The NPI Number for Brian David O'carroll is 1336133768 and holds a License No. E4758 (California).

The current practice location address for Brian David O'carroll is 911 Oak Park Blvd, Pismo Beach, CA and can be reached out via phone at 805-481-9100 and via fax at 805-481-9199.

Location: 911 Oak Park Blvd, Pismo Beach, CA, 93449-3406
person
Provider Profile Details
NPI Number
1336133768
Provider Name
Brian David O'carroll
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
911 Oak Park Blvd, Pismo Beach, CA, 93449-3406
Phone Number
805-481-9100
Fax Number
805-481-9199
Provider Enumeration Date
08/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016004922 05 IL
E4758 01 CA CA MED LICENSE
000E47580 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
911 Oak Park Blvd
City
State
Zip
93449-3406
Phone Number
805-481-9100
Fax Number
805-481-9199
person
Provider Business Mailing Address Details
Address
911 Oak Park Blvd
City
State
Zip
93449-3406
Phone Number
805-481-9100
Fax Number
805-481-9199
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4758 (California)
Definition
Definition to come...
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