Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E4197 | CA |
NPI | 1073707923 |
---|---|
Provider Name | Dr. Carolyn Elizabeth Mcaloon |
First Address | Castro Valley, CA 94546-4055 |
Second Address | Castro Valley, CA 94546-4055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2007 |
Last Update Date | 06/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E41970 | (05) | CA |
U75111 | DPM (01) | CA |