Organization
SIERRA NEVADA UROLOGY MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WHITMORE (BILLER)
(530) 274-9623
Entity
Organization
Contact information
Practice address
107 MARGARET LN, GRASS VALLEY, CA 95945-5211
(530) 274-9623
(530) 274-0590
Mailing address
107 MARGARET LN, GRASS VALLEY, CA 95945-5211
(530) 274-9623
(530) 274-0590
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
CA
Other
Enumeration date
05/31/2006
Last updated
06/26/2014
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