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Individual

ANDRAUS SAMUEL THURMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3291 LOMA VISTA RD, VENTURA, CA 93003-3099
(805) 652-6100
Mailing address
3291 LOMA VISTA RD, VENTURA, CA 93003-3099
(805) 652-6100

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A89135
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A89135
STATE MEDICAL LICENSE
CA
Enumeration date
05/03/2007
Last updated
07/08/2007
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