Wivina T Urbano Md Inc

NPI 1528272580 - Pediatrics - 208000000X

NPI Details
NPI 1528272580
Enumeration Date 05/09/2007
Last Updated 06/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WIVINA T WIVINA
Position PRESIDENT
Phone (209) 833-1628
Fax
Practice Location
4600 S TRACY BLVD STE 110
TRACY CA, 95377-8105, US
Phone (209) 833-1628
Fax
Business Location
4600 S TRACY BLVD STE 110
TRACY CA, 95377-8105, US
Phone (209) 833-1628
Fax
Toxanomy
Taxonomy Code 208000000X
License State California
License Number A68692
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According to our database, Wivina T Urbano Md Inc NPI is 1528272580, taxonomy code is 208000000X and license number is A68692, license state is located at California. Wivina T Urbano Md Inc physically located at 4600 S Tracy Blvd Ste 110, Tracy CA, 95377-8105. NPI Number 1033115704 has the healthcare provider type.

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1528272580 NPI number is provided on an as is basis without warranty of any kind. 1528272580 is maintained by the National Plan & Provider Enumeration System. The contents of Wivina T Urbano Md Inc are for informational purposes only.