Individual
DAVID SCOTT BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 W GONZALES RD, OXNARD, CA 93036-9004
(805) 983-3900
(805) 983-3887
Mailing address
5030 AMALFI WAY, OXNARD, CA 93035-2805
(805) 983-3900
(805) 983-3887
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G63950
CA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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