Organization
VALLEY ASSOCIATED UROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD BOYAJIAN (CHIEF ADMINISTRATIVE OFFICE)
(209) 521-0870
Entity
Organization
Contact information
Practice address
1000 DELBON AVE, STE 2, TURLOCK, CA 95380
(209) 634-8558
(209) 634-9955
Mailing address
1541 FLORIDA AVE, STE 306, MODESTO, CA 95350-4429
(209) 521-0870
(209) 521-0398
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066261
—
CA
Enumeration date
07/03/2006
Last updated
09/13/2007
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