Organization
COAST ORTHOPEDIC SPECIALTY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK G KOWALL MD (OWNER)
(805) 466-2333
Entity
Organization
Contact information
Practice address
78 S MAIN ST, TEMPLETON, CA 93465-9787
(805) 434-0999
(805) 434-5267
Mailing address
78 S MAIN ST, TEMPLETON, CA 93465-9787
(805) 434-0999
(805) 434-5267
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G074354
CA
Other
Enumeration date
03/15/2007
Last updated
08/21/2008
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