Individual
DR. MARY JO VITA URSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1515 W FLORIDA AVE, HEMET, CA 92543
(951) 929-8400
(951) 929-8411
Mailing address
1515 W FLORIDA AVE, HEMET, CA 92543-3817
(951) 929-8400
(951) 929-8411
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A8265
CA
207V00000X
Obstetrics & Gynecology Physician
3696
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
635526
—
AZ
Enumeration date
07/08/2005
Last updated
08/29/2018
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