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Organization

VICTOR A TACCONELLI, MD, INC

Active
Other names
ORTHOPEDIC SURGICAL PRACTICE
Organization subpart
No

Provider details

NPI number
Authorized official
VICTOR ANDREW TACCONELLI MD (OWNER)
(805) 967-9311
Entity
Organization

Contact information

Practice address
5333 HOLLISTER AVE, STE 135, SANTA BARBARA, CA 93111-2341
(805) 967-9311
(805) 967-4192
Mailing address
5333 HOLLISTER AVE, STE 135, SANTA BARBARA, CA 93111-2341
(805) 967-9311
(805) 967-4192

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G27913
CA

Other

Enumeration date
09/25/2008
Last updated
09/12/2011
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