EASTERN SIERRA UROLOGY PROF CORP

BISHOP, CA
NPI1760607790
Entity TypeOrganization
Authorized ContactTOMI L BORTOLAZZO
Owner
760-872-1606
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: CA  G67284)
Enumeration Date2007-04-16
Last Update Date2010-12-14
Business Address
EASTERN SIERRA UROLOGY PROF CORP
152 PIONEER LN SUITE F
BISHOP, CA 93514-2563
Phone number: 760-872-1606
Mailing Address
EASTERN SIERRA UROLOGY PROF CORP
152 PIONEER LN SUITE F
BISHOP, CA 93514-2563
Phone number: 760-872-1606