MENDO LAKE UROLOGIC MEDICAL GROUP, INC is a specialist in Ukiah, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MENDO LAKE UROLOGIC MEDICAL GROUP, INC NPI is 1083646525. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mendo Lake Urology.
The provider's business location address is:
246 HOSPITAL DR
UKIAH, CA
ZIP 95482-533
Phone: (707) 462-1928
Fax: (707) 462-8642
The provider's authorized official is Robert Earl Blackwelder .
The authorized official title is Owner and has the following contact phone number (707) 462-1928.
The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/18/2007.