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Organization
COAST UROLOGY SERVICES INC.
Active
Organization
COAST UROLOGY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D CLAYTON MD (PRESIDENT)
(805) 786-2500
Entity
Organization
Contact information
Practice address
35 CASA ST, SUITE 370, SAN LUIS OBISPO, CA 93405-1818
(586) 498-9440
(586) 498-9460
Mailing address
3599 SUELDO ST, SUITE #110, SAN LUIS OBISPO, CA 93401-7386
(586) 498-9440
(586) 498-9460
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
09/04/2012
Last updated
08/01/2013
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