| Gary M Van Deventer Md | |
|
221 W Pueblo St Suite B Santa Barbara CA 93105-6814 | |
| (805) 563-0024 | |
| (805) 563-1454 |
| Full Name | Gary M Van Deventer Md |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 221 W Pueblo St, Santa Barbara, California |
| Authorized Official Name and Position | Gary M Van Deventer (PRESIDENT) |
| Authorized Official Contact | 8059633336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary M Van Deventer Md Po Box 50706 Santa Barbara CA 93150-0706 Ph: (805) 963-3336 | Gary M Van Deventer Md 221 W Pueblo St Suite B Santa Barbara CA 93105-6814 Ph: (805) 563-0024 |
| NPI Number | 1053508721 |
|---|---|
| Provider Enumeration Date | 09/26/2007 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053508721 | NPI | - | NPPES |
| 100004009 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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