Individual
DANIEL GENE KOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2460 N PONDEROSA DR STE A117, CAMARILLO, CA 93010-2468
(805) 484-2855
(805) 389-1245
Mailing address
2460 N PONDEROSA DR STE A117, CAMARILLO, CA 93010-2468
(805) 484-2855
(805) 389-1245
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T2004016415
MO
Other
Enumeration date
10/02/2006
Last updated
03/16/2023
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