Organization
GREENLEY OAKS EAR, NOSE & THROAT, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTY A HOLMAN (OFFICE MANAGER)
(209) 533-2545
Entity
Organization
Contact information
Practice address
795 MORNING STAR DR, SONORA, CA 95370-5193
(209) 533-2545
(209) 533-0924
Mailing address
795 MORNING STAR DR, SONORA, CA 95370-5193
(209) 533-2545
(209) 533-0924
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G317680
—
CA
05
—
00G670890
—
CA
Enumeration date
04/30/2008
Last updated
04/30/2008
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