Organization
UROLOGY ASSOCIATES OF SAN LUIS OBISPO
Active
Organization
UROLOGY ASSOCIATES OF SAN LUIS OBISPO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERILYN SUE CAGLE (BUSIENSS OFFICE MANAGER)
(805) 786-2500
Entity
Organization
Contact information
Practice address
116 S PALISADE DR, SUITE 110, SANTA MARIA, CA 93454-8904
(805) 786-2500
(805) 781-0423
Mailing address
3599 SUELDO ST, SUITE 110, SAN LUIS OBISPO, CA 93401-7386
(805) 786-2500
(805) 781-0423
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52086
CA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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