Individual
GARY K MO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2438 PONDEROSA DR N, C201, CAMARILLO, CA 93010
(805) 484-8479
(805) 383-0340
Mailing address
2438 PONDEROSA DR N, C201, CAMARILLO, CA 93010
(805) 484-8479
(805) 383-0340
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G37161
CA
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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