Organization
CAPITOL UROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY L FEUTZ (PRACTICE MANAGER)
(916) 733-6238
Entity
Organization
Contact information
Practice address
6600 MERCY CT, SUITE 150, FAIR OAKS, CA 95628
(916) 961-9696
(916) 536-1618
Mailing address
3939 J ST, SUITE 250, SACRAMENTO, CA 95819
(916) 733-6233
(916) 733-6230
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G59055
—
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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