Organization
UROLOGY SPECIALISTS OF SANTA BARBARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A CHACKO MD (MANAGING PARTNER)
(805) 687-7716
Entity
Organization
Contact information
Practice address
504 W PUEBLO ST, SUITE 102, SANTA BARBARA, CA 93105-6211
(805) 687-7719
(805) 682-2971
Mailing address
PO BOX 1206, GOLETA, CA 93116-1206
(805) 964-3838
(805) 683-3400
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A69285
CA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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