Oak Valley Otolaryngology INC

NPI #1659667285 in Oakdale, California

Provider Information

NPI Number: 1659667285
Entity Type: Organization
Organization Name: Oak Valley Otolaryngology INC
Primary Specialty: Otolaryngology
Enumeration Date: Jun 22, 2011
Last Updated: Aug 8, 2011

Practice Location

Address: 250 S OAK AVE
Address 2: SUITE 4
City: Oakdale
State: California
ZIP Code: 95361-3572
Phone: (209) 845-0100

Authorized Official

Name: DR. JERROLD POLTEROCK, MD
Title: MD/PRESIDENT
Phone: (209) 845-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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