Christine C Ponzio, m.d.
Family Medicine in Gonzales, CA. Individual provider (NPI-1).
NPI number1790782191
StatusActive
Last updated in NPPESJan 4, 2016
Details
- NPI
- 1790782191
- Entity type
- Individual (NPI-1)
- Name
- Christine C Ponzio
- Credential
- m.d.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2005
- Last updated
- Jan 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G48377 | CA | Yes |
| 173000000X | Legal Medicine | G483377 | CA |
Practice location
850 5th StGonzales, CA 93926-9491
Phone 831-675-3601 · Fax 831-675-3966
Mailing address
850 5th StGonzales, CA 93926-9491
Phone 831-675-3601 · Fax 831-675-3966
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