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Individual

RICHARD L ONTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
821 E CHAPEL, SUITE 103, SANTA MARIA, CA 93454
(805) 925-1822
(805) 925-0667
Mailing address
821 E CHAPEL, SUITE 103, SANTA MARIA, CA 93454
(805) 925-1822
(805) 925-0667

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C32403
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C32403
CA
Enumeration date
10/10/2006
Last updated
03/07/2023
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