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Dr. Kevin Mark Deitel, MD
Orthopedic Surgery of the Spine Physician in Oxnard, California
NPI 1033111380

Kevin Mark Deitel is a Orthopedic Surgery of the Spine Physician based in Ventura, CA and is specialized in Orthopedic Surgery of the Spine. Kevin Mark Deitel practices in Oxnard, CA and has the professional credentials of MD. The NPI Number for Kevin Mark Deitel is 1033111380 and holds a License No. G85673 (California).

The current practice location address for Kevin Mark Deitel is 2221 Wankel Way, Oxnard, CA and can be reached out via phone at 805-988-9366 and via fax at 805-483-3747.

Location: 2221 Wankel Way, Oxnard, CA, 93003-7844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033111380
Provider Name
Kevin Mark Deitel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2221 Wankel Way, Oxnard, CA, 93003-7844
Phone Number
805-988-9366
Fax Number
805-483-3747
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G85673 01 CA MEDICAL LICENSE
H35473 01 CA UPIN
institution
Provider Business Practice Location Address Details
Address
2221 Wankel Way
City
Oxnard
State
California
Zip
93030-0192
Phone Number
805-988-9366
Fax Number
805-483-3747
person
Provider Business Mailing Address Details
Address
2221 Wankel Way
City
Oxnard
State
California
Zip
93030-0192
Phone Number
805-988-9366
Fax Number
805-483-3747
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
G85673 (California)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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