Gary M Van Deventer Md

NPI 1053508721 - Internal Medicine - 207RG0100X

NPI Details
NPI 1053508721
Enumeration Date 09/26/2007
Last Updated 08/18/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GARY M GARY
Position PRESIDENT
Phone (805) 563-0024
Fax (805) 563-1454
Practice Location
221 W PUEBLO ST
SUITE B
SANTA BARBARA CA, 93105-6814, US
Phone (805) 563-0024
Fax (805) 563-1454
Business Location
PO BOX 50706
SANTA BARBARA CA, 93150-0706, US
Phone (805) 963-3336
Fax (805) 564-3332
Toxanomy
Taxonomy Code 207RG0100X
License State
License Number
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According to our database, Gary M Van Deventer Md NPI is 1053508721, taxonomy code is 207RG0100X Gary M Van Deventer Md physically located at 221 W Pueblo St, Santa Barbara CA, 93105-6814. NPI Number 1033115704 has the healthcare provider type.

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1053508721 NPI number is provided on an as is basis without warranty of any kind. 1053508721 is maintained by the National Plan & Provider Enumeration System. The contents of Gary M Van Deventer Md are for informational purposes only.