Miriam Locke, MD | |
2169 South Ave, South Lake Tahoe, CA 96150-7059 | |
(530) 543-5400 | |
Not Available |
Full Name | Miriam Locke |
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Gender | Female |
Speciality | Urology |
Location | 2169 South Ave, South Lake Tahoe, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225455157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | A162641 (California) | Primary |
Entity Name | Northbay Healthcare Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409 |
Entity Name | Barton Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
Mailing Address | Practice Location Address |
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Miriam Locke, MD 2169 South Ave, South Lake Tahoe, CA 96150-7059 Ph: (530) 543-5400 | Miriam Locke, MD 2169 South Ave, South Lake Tahoe, CA 96150-7059 Ph: (530) 543-5400 |
Dr. Bradley W Anderson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2169 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5400 Fax: 530-544-1959 | |
Brian L Steixner, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2169 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5400 |