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Organization

TERRY L. COLE, M.D. A PROFESSIONAL CORP

Active
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Organization

TERRY L. COLE, M.D. A PROFESSIONAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY L. COLE M.D. (OWNER/PRESIDENT)
(805) 648-3204
Entity
Organization

Contact information

Practice address
168 N BRENT ST, SUITE 506, VENTURA, CA 93003-2817
(805) 648-3204
(805) 648-6037
Mailing address
168 N BRENT ST, SUITE 506, VENTURA, CA 93003-2817
(805) 648-3204
(805) 648-6037

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G29666
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G296660
—
CA
Enumeration date
10/07/2010
Last updated
10/18/2010
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