REGG V. ANTLE M. D. NPI 1073709598

NPI Information

REGG V. ANTLE, M. D. is an ophthalmologic surgery clinic center in Vista, CA. REGG V. ANTLE, M. D. NPI is 1073709598. The provider is registered as an organization entity type.

The provider's business location address is:

2023 W VISTA WAY STE F
VISTA, CA
ZIP 92083-030
Phone: (760) 726-6451
Fax: (760) 726-4822

The provider's authorized official is Regg V. Antle .
The authorized official title is M.d. and has the following contact phone number (760) 726-6451.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 9/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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