Individual
DR. RICHARD DONALD FANTOZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38721 VIA MAJORCA, MURRIETA, CA 92562-9132
(619) 972-4259
Mailing address
PO BOX 60099, SAN DIEGO, CA 92166-8099
(619) 972-4259
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G34610
CA
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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