| Santa Maria Gastroenterology Medical Group Inc | |
|
525 E Plaza Dr 307 Santa Maria CA 93454-6953 | |
| (805) 922-6581 | |
| (805) 614-6055 |
| Full Name | Santa Maria Gastroenterology Medical Group Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 525 E Plaza Dr, Santa Maria, California |
| Authorized Official Name and Position | Pamela C Cordero (OFFICE MANAGER) |
| Authorized Official Contact | 8059226581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Gastroenterology Medical Group Inc 525 E Plaza Dr 307 Santa Maria CA 93454-6953 Ph: (805) 922-6581 | Santa Maria Gastroenterology Medical Group Inc 525 E Plaza Dr 307 Santa Maria CA 93454-6953 Ph: (805) 922-6581 |
| NPI Number | 1063735421 |
|---|---|
| Provider Enumeration Date | 03/12/2010 |
| Last Update Date | 03/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063735421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A67917 (California) | Primary |
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