COM FAM PRACT URGENT

VENTURA, CA
NPI1972702702
Entity TypeOrganization
Authorized ContactMICHAEL S DATLOW
Md
805-648-5268
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  C39479)
Enumeration Date2007-07-12
Last Update Date2007-11-07
Business Address
COM FAM PRACT URGENT
2715 E MAIN ST
VENTURA, CA 93003-2803
Phone number: 805-648-5268
Mailing Address
COM FAM PRACT URGENT
2715 E MAIN ST
VENTURA, CA 93003-2803
Phone number: 805-648-5268
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