# CAPITOL UROLOGY MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588685499
- **Authorized official:** NANCY L FEUTZ (PRACTICE MANAGER)
- **Authorized official phone:** (916) 733-6238

## Contact information

- **Practice address:** 6600 MERCY CT, SUITE 150, FAIR OAKS, CA 95628
- **Practice address phone:** (916) 961-9696
- **Practice address fax:** (916) 536-1618
- **Mailing address:** 3939 J ST, SUITE 250, SACRAMENTO, CA 95819
- **Mailing address phone:** (916) 733-6233
- **Mailing address fax:** (916) 733-6230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G59055 | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 08/22/2020