Individual
DR. CORY MICHAEL LEE NITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HILLMONT AVE STE 503, VENTURA, CA 93003-1651
(805) 652-5787
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
7676143-1205
UT
207RC0000X
Cardiovascular Disease Physician
Primary
C155200
CA
Other
Enumeration date
05/30/2007
Last updated
07/17/2023
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