Organization
VALLEY SLEEP DISORDERS CENTER OF SAN ANDREAS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GEORGE MONIE M.D. (PRESIDENT)
(209) 466-8011
Entity
Organization
Contact information
Practice address
564 MOUNTAIN RANCH ROAD, SAN ANDREAS, CA 95249
(209) 754-5374
(209) 754-5376
Mailing address
1805 N CALIFORNIA STREET, SUITE 206, STOCKTON, CA 95204-9037
(209) 466-8011
(209) 466-0250
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00A45770
CA
207RP1001X
Pulmonary Disease Physician
00G311730
CA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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