Organization
HILLSIDE OBSTETRICS & GYNECOLGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONOVAN D TEEL M.D. (PRESIDENT)
(209) 536-3750
Entity
Organization
Contact information
Practice address
680 GUZZI LN, SUITE 106, SONORA, CA 95370-5288
(209) 536-3750
(209) 532-9811
Mailing address
680 GUZZI LN, SUITE 106, SONORA, CA 95370-5288
(209) 536-3750
(209) 532-9811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G30879
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G308790
—
CA
Enumeration date
04/24/2006
Last updated
09/22/2011
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