Individual provider · Type 1 NPI

Gary Vanetsky, PA-C

Medical Physician Assistant · Encinitas, CA

NPI number 1417034489 Active

Practice location

477 N El Camino Real, C-312
Encinitas, CA 92024-1328

Mailing address

2285 Corporate Cir, Ste 200
Henderson, NV 89074-7759

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA15456 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1417034489

Gary Vanetsky, PA-C's National Provider Identifier is 1417034489, issued on Nov 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Encinitas, CA. The record was last updated on Apr 22, 2016.