Organization
MARY K. OATES, M.D. INC
Active
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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