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Organization
CENTRAL COAST OBSTETRICS AND GYNECOLOGY
Active
Organization
CENTRAL COAST OBSTETRICS AND GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT THIELSCHER DDS, MBA (PRACTICE ADMINISTRATOR)
(805) 786-4111
Entity
Organization
Contact information
Practice address
220 S PALISADE DR, STE 204, SANTA MARIA, CA 93454-8902
(805) 354-7101
(805) 354-7102
Mailing address
100 CASA ST, STE B, SAN LUIS OBISPO, CA 93405-1883
(805) 786-4111
(805) 543-6357
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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