Organization
GARY M VAN DEVENTER MD INC
Active
Organization
GARY M VAN DEVENTER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY VANDEVENTER MD (OWNER)
(805) 963-3757
Entity
Organization
Contact information
Practice address
504 W PUEBLO ST STE 201, SANTA BARBARA, CA 93105-6211
(805) 563-0024
Mailing address
PO BOX 50706, SANTA BARBARA, CA 93150-0706
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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