Vaginal And Pelvic Surgeons, INC
Clinic/Center, Oncology in Santa Maria, CA. Organization (NPI-2).
NPI number1164077566
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1164077566
- Entity type
- Organization (NPI-2)
- Legal business name
- Vaginal And Pelvic Surgeons, INC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2019
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QX0200X | Clinic/Center, Oncology | – | – | Yes |
Practice location
1325 E Church StSanta Maria, CA 93454-5909
Phone 805-219-4673
Mailing address
461 Islay StSan Luis Obispo, CA 93401-4341
Authorized official
Christopher Lutman
Medical Director
6143157976
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