Organization
RICHMOND UROLOGICAL MEDICAL GROUP,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H BROWN M.D. (OWNER)
(510) 724-1500
Entity
Organization
Contact information
Practice address
1430 TARA HILLS DR STE A, PINOLE, CA 94564-2512
(510) 724-1500
(510) 724-2265
Mailing address
1430 TARA HILLS DR STE A, PINOLE, CA 94564-2512
(510) 724-1500
(510) 724-2265
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G8290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G82900
—
CA
05
—
ZZZ70211Z
—
CA
Enumeration date
07/27/2006
Last updated
08/22/2020
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