Organization
REDDING UROLOGIC ASSOCIATES, A MEDICAL CORP
Active
Other names
Redding Urologic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK T FOWLER M.D. (CORPORATION OFFICER)
(530) 241-3316
Entity
Organization
Contact information
Practice address
2626 EDITH AVE STE C, REDDING, CA 96001-3056
(530) 241-3316
(530) 241-6319
Mailing address
2626 EDITH AVE STE C, REDDING, CA 96001-3056
(530) 241-3316
(530) 241-6319
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0617976
CLIA ID
CA
01
—
CP5241
RAILROAD MEDICARE
CA
05
—
ZZZ78528Z
—
CA
Enumeration date
09/26/2006
Last updated
08/13/2025
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