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Organization

PRAVIR R VATSA MD A MEDICAL CORPORATION

Active
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Organization

PRAVIR R VATSA MD A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRAVIR R VATSA M.D. (PRESIDENT)
(805) 540-9046
Entity
Organization

Contact information

Practice address
775 VIA LAS AGUILAS, ARROYO GRANDE, CA 93420-1953
(805) 540-9046
Mailing address
PO BOX 550, PISMO BEACH, CA 93448-0550
(805) 540-9046

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/15/2014
Last updated
09/15/2014
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