RODERICK DEAN PONATH

TUSTIN, CA
NPI1568669992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: CA  A25415)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
DR. RODERICK DEAN PONATH M.D.
17291 IRVINE BLVD SUITE 104
TUSTIN, CA 92780-2941
Phone number: 415-990-2502
Mailing Address
DR. RODERICK DEAN PONATH M.D.
PO BOX 447
SAN QUENTIN, CA 94964-0447
Phone number: 415-990-2502
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