Individual
GARY VANETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
477 N EL CAMINO REAL, C-312, ENCINITAS, CA 92024-1328
(760) 436-2300
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15456
CA
Other
Enumeration date
11/01/2006
Last updated
04/22/2016
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