Nicholas Aaron Fettman MD

NPI 1003005109 - Otolaryngology - 207Y00000X

NPI Details
NPI 1003005109
Gender Male
Enumeration Date 10/15/2007
Last Updated 06/19/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1700 N ROSE AVE
SUITE 460
OXNARD CA, 93030-3790, US
Phone (805) 983-0395
Fax (805) 983-0463
Business Location
2876 SYCAMORE DR
SUITE 303
SIMI VALLEY CA, 93065-1530, US
Phone (805) 527-7320
Fax (805) 527-2426
Toxanomy
Taxonomy Code 207Y00000X
License State Missouri
License Number 2006018899
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According to our database, Dr. Nicholas Aaron Fettman MD NPI is 1003005109, taxonomy code is 207Y00000X and license number is 2006018899, license state is located at Missouri. Nicholas Aaron Fettman MD physically located at 1700 N Rose Ave, Oxnard CA, 93030-3790. NPI Number Nicholas Aaron Fettman MD has the Individual type.

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1003005109 NPI number is provided on an as is basis without warranty of any kind. 1003005109 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Aaron Fettman MD are for informational purposes only.