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Individual

DR. CHRISTOPHER PUDOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
(760) 414-3892
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A14907
CA
207Q00000X
Family Medicine Physician
OS8199
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274081800
FL
Enumeration date
09/14/2005
Last updated
10/05/2016
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