Valley Associated Urology Medicare Group INC

NPI #1225073588 in Manteca, California

Provider Information

NPI Number: 1225073588
Entity Type: Organization
Organization Name: Valley Associated Urology Medicare Group INC
Primary Specialty: Urology
Enumeration Date: Jun 19, 2006
Last Updated: Sep 13, 2007

Practice Location

Address: 200 COTTAGE AVE
Address 2: STE 101
City: Manteca
State: California
ZIP Code: 95336-4935
Phone: (209) 239-2197

Authorized Official

Name: MR. GERALD BOYAJIAN
Title: CHIEF ADMINISTRATIVE OFFICER
Phone: (209) 521-0870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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