Individual
DR. MARY KOSKO OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
116 SOUTH PALISADE DRIVE, SUITE 200, SANTA MARIA, CA 93454-8905
(805) 739-3968
(805) 739-3051
Mailing address
117 WEST BUNNY AVENUE, SANTA MARIA, CA 93458-2805
(805) 739-3968
(805) 739-3051
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G72477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB216449
MEDICARE ID
CA
Enumeration date
08/30/2006
Last updated
01/18/2016
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