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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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