Organization
VALLEY UROLOGIC MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN BERNARD BROOKS MD (PRESIDENT)
(760) 346-1133
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR, SUITE P303, RANCHO MIRAGE, CA 92270
(760) 346-1133
(760) 346-8857
Mailing address
39000 BOB HOPE DR, SUITE P303, RANCHO MIRAGE, CA 92270
(760) 346-1133
(760) 346-8857
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ72030Z
—
CA
Enumeration date
01/23/2007
Last updated
08/22/2020
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