Organization
COAST UROLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP ANDREW BUTLER M.D. (PRESIDENT)
(858) 453-5944
Entity
Organization
Contact information
Practice address
320 SANTA FE DR, STE 305, ENCINITAS, CA 92024-5138
(858) 453-5944
(858) 552-2182
Mailing address
9850 GENESEE AVE, STE 440, LA JOLLA, CA 92037-1224
(858) 453-5944
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
08/22/2020
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