Individual
PETER STANFORD KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 PRADO RD STE D, SAN LUIS OBISPO, CA 93401-7363
(805) 786-2500
Mailing address
225 PRADO RD STE D, SAN LUIS OBISPO, CA 93401-7363
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A195706
CA
Other
Enumeration date
04/03/2018
Last updated
08/01/2024
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