Organization
SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA C CORDERO (OFFICE MANAGER)
(805) 922-6581
Entity
Organization
Contact information
Practice address
525 E PLAZA DR, 307, SANTA MARIA, CA 93454-6953
(805) 922-6581
(805) 614-6055
Mailing address
525 E PLAZA DR, 307, SANTA MARIA, CA 93454-6953
(805) 922-6581
(805) 614-6055
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A67917
CA
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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