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Organization

SAN MATEO ORTHOPEDIC MEDICAL GROUP INC

Active
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Organization

SAN MATEO ORTHOPEDIC MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL E. HAZELRIG JR. M.D. (PRESIDENT)
(650) 342-0854
Entity
Organization

Contact information

Practice address
77 N SAN MATEO DR, SAN MATEO, CA 94401-2889
(650) 342-0854
(650) 342-2198
Mailing address
77 N SAN MATEO DR, SAN MATEO, CA 94401-2889
(650) 342-0854
(650) 342-2198

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
01/16/2007
Last updated
09/23/2016
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