Organization
EL CAMINO UROLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY GRANTHAM (OFFICE MANAGER)
(650) 962-4662
Entity
Organization
Contact information
Practice address
2490 HOSPITAL DR., STE. 210, MOUNTAIN VIEW, CA 94040-4323
(650) 962-4662
(650) 962-4652
Mailing address
2490 HOSPITAL DR., STE. 210, MOUNTAIN VIEW, CA 94040-4323
(650) 962-4662
(650) 962-4652
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
08/22/2020
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