Individual
DR. GARY NICHOLAS PONTRELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2065 SPERRY AVE, SUITE A, VENTURA, CA 93003-7451
(805) 658-0225
Mailing address
365 ARTEMESIA AVE, VENTURA, CA 93001-2238
(805) 658-0225
(805) 644-4583
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G45965
CA
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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