PHILLIP PRUSACK, MD

Family Medicine

Active Individual
NPI: 1073043378

Practice Address

300 HILLMONT AVE
Ventura, CA 93003

Phone: (805) 652-6556

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Family Medicine 207Q00000X Yes A158786 (CA)

Frequently Asked Questions

NPI 1073043378 is the National Provider Identifier for PHILLIP PRUSACK, MD, a Family Medicine provider located in Ventura, CA. This NPI was enumerated on June 19, 2017.
PHILLIP PRUSACK, MD practices at 300 HILLMONT AVE, Ventura, CA 93003.

Quick Facts

NPI
1073043378
Type
Individual
Enumerated
Jun 19, 2017
Last Updated
Oct 6, 2020

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