Individual
MICHAEL T. VERCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
375 ROLLING OAKS DR, SUITE 200, THOUSAND OAKS, CA 91361-1023
(805) 497-9481
(805) 497-3416
Mailing address
375 ROLLING OAKS DR, SUITE 200, THOUSAND OAKS, CA 91361-1023
(805) 497-9481
(805) 497-3416
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
40629
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
A85526
CA
Other
Enumeration date
04/13/2007
Last updated
05/31/2012
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