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Organization

SAN LUIS OBISPO PUBLIC HEALTH

Active
Other names
AIDS Program
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY W THOMAS M.D. (HEALTH OFFICER)
(805) 781-5519
Entity
Organization

Contact information

Practice address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 781-5500
(805) 781-5543
Mailing address
2191 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4534
(805) 781-5500
(805) 781-5543

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G46138
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AYD000340
CA
Enumeration date
03/21/2007
Last updated
08/22/2020
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