Organization
PENINSULA UROLOGY CENTER INC
Active
Other names
Chris Threatt, MD, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS THREATT M.D. (CFO)
(650) 306-1016
Entity
Organization
Contact information
Practice address
2900 WHIPPLE AVE, SUITE 132, REDWOOD CITY, CA 94062-2843
(650) 306-1016
(650) 369-3627
Mailing address
2900 WHIPPLE AVE, SUITE 132, REDWOOD CITY, CA 94062-2843
(650) 306-1016
(650) 369-3627
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A79072
CA
Other
Enumeration date
06/29/2006
Last updated
06/27/2012
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