Ryan Patrick Ponton M.D.

NPI 1043470685 - General Practice - 208D00000X

NPI Details
NPI 1043470685
Gender Male
Enumeration Date 06/16/2008
Last Updated 02/26/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
34800 BOB WILSON DR
SAN DIEGO CA, 92134-1098, US
Phone (619) 744-5332
Fax
Business Location
527 10TH AVE
#201
SAN DIEGO CA, 92101-7266, US
Phone (757) 572-9763
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Nebraska
License Number 25289
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According to our database, Dr. Ryan Patrick Ponton M.D. NPI is 1043470685, taxonomy code is 208D00000X and license number is 25289, license state is located at Nebraska. Ryan Patrick Ponton M.D. physically located at 34800 Bob Wilson Dr, San Diego CA, 92134-1098. NPI Number Ryan Patrick Ponton M.D. has the Individual type.

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1043470685 NPI number is provided on an as is basis without warranty of any kind. 1043470685 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan Patrick Ponton M.D. are for informational purposes only.