Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A162302 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 2018010590 | MO |
NPI | 1760725683 |
---|---|
Provider Name | Dr. Daniel Abraham Carlton |
First Address | Sacramento, CA 95815-4314 |
Second Address | Roseville, CA 95661-3044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2013 |
Last Update Date | 03/11/2020 |