Organization
UROLOGICAL ASSOCIATES OF SAN DIEGO, A MEDICAL CORPORATION
Active
Other names
Premier Urology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE G. ROCHESTER M.D. (PRESIDENT)
(619) 260-0060
Entity
Organization
Contact information
Practice address
3969 4TH AVE, SUITE 202, SAN DIEGO, CA 92103-3165
(619) 260-0060
(619) 260-0460
Mailing address
3969 4TH AVE, SUITE 202, SAN DIEGO, CA 92103-3165
(619) 260-0060
(619) 260-0460
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100000
—
CA
Enumeration date
08/21/2006
Last updated
07/27/2010
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