Individual
DR. ERNEST H. SPONZILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 BON AIR RD, SUITE 120, LARKSPUR, CA 94939-1141
(415) 925-8200
(415) 464-5480
Mailing address
2 BON AIR RD, SUITE 120, LARKSPUR, CA 94939-1141
(415) 925-8200
(415) 464-5480
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G78425
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G78425
CA
Other
Enumeration date
05/20/2006
Last updated
11/21/2023
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