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San Antonio Urology Medical Group INC

Urology in Upland, CA. Organization (NPI-2).

NPI number1497948491
StatusActive
Last updated in NPPESMar 16, 2015

Details

NPI
1497948491
Entity type
Organization (NPI-2)
Legal business name
San Antonio Urology Medical Group INC
Organization subpart
No
Enumeration date
Aug 22, 2007
Last updated
Mar 16, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes

Practice location

1175 E Arrow Hwy
Suite E
Upland, CA 91786-5525

Phone 909-985-9737 · Fax 909-981-1203

Mailing address

1175 E Arrow Hwy
Suite E
Upland, CA 91786-5525

Phone 909-985-9737 · Fax 909-981-1203

Authorized official

John U Alvarez
Billing Manager
9099498866

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