NPI | 1720208481 |
---|---|
Doing Business As | STOCKTON UROLOGICAL MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | RONALD C. ALLISON Owner 209-943-2107 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G15360) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2008-03-06 |