Provider Demographics
NPI:1699906545
Name:CARROLL, DEBRA MARZELLE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:MARZELLE
Last Name:CARROLL
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:501 W BROADWAY
Mailing Address - Street 2:STE 1340
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-3556
Mailing Address - Country:US
Mailing Address - Phone:619-282-7172
Mailing Address - Fax:
Practice Address - Street 1:1313 PARK BLVD RM A-116
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-4712
Practice Address - Country:US
Practice Address - Phone:619-388-3450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2016-03-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG726272083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine