Organization
MARY K. OATES, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KOSKO OATES M.D. (OWNER)
(805) 922-4224
Entity
Organization
Contact information
Practice address
116 S PALISADE DR, STE. #200, SANTA MARIA, CA 93454-8904
(805) 922-4224
(805) 922-6101
Mailing address
116 S PALISADE DR, STE. #200, SANTA MARIA, CA 93454-8904
(805) 922-4224
(805) 922-6101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
GO72476
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
GO72477
CA
Other
Enumeration date
08/03/2006
Last updated
02/19/2008
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