Organization · Type 2 NPI

Mendo Lake Urologic Medical Group, Inc

Specialist · Ukiah, CA

NPI number 1083646525 Active

Practice location

246 Hospital Dr
Ukiah, CA 95482-4533

Call (707) 462-1928 Map

Fax (707) 462-8642

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XA24853 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083646525

Mendo Lake Urologic Medical Group, Inc's National Provider Identifier is 1083646525, issued on Jul 7, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ukiah, CA. The record was last updated on Jul 18, 2007.