Most Relevant Information
Provider Data
| NPI Number: | 1003017666 |
| Provider Name: | CORY MICHAEL LEE NITZEL M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207RC0000X |
| Specialty: | Internal Medicine |
| License Number: | C155200 |
Most Important Dates
| Enumeration Date: | 05/30/2007 |
| Last Updated: | 07/17/2023 |
Provider Practice Location
300 HILLMONT AVE STE 503
VENTURA
CA
930031651
Practice Location Phone/Fax
| Phone: | 8056525787 |
| Fax: |
Provider Mailing Location
PO BOX 413033
SALT LAKE CITY
UT
841413033
Provider Mailing Phone/Fax
| Phone: | 8012133900 |
| Fax: |
Suggested EMR
Internist EMR