Individual
ERIC VONDRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(805) 606-1601
Mailing address
338 S DAKOTA AVE, VANDENBERG AFB, CA 93437-6307
(805) 606-1601
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2262
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
07/24/2024
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