Organization
ALTA ORTHOPAEDIC MEDICAL GROUP, INC.
Active
Parent organization
ALTA ORTHOPAEDIC MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALTA ORTHOPAEDIC MEDICAL GROUP, INC.
Authorized official
GARY W BRADLEY MD (AUTHORIZED OFFICIAL)
(805) 936-9377
Entity
Organization
Contact information
Practice address
2027 VILLAGE LN STE 101, SOLVANG, CA 93463-2271
(805) 688-8821
(805) 962-2154
Mailing address
511 BATH ST, SANTA BARBARA, CA 93101-3403
(805) 563-3307
(805) 563-3827
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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