Healthcare Provider Details

I. General information

NPI: 1114682341
Provider Name (Legal Business Name): MICHAEL A. URO DPM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2021
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 SCRIPPS DR STE 212
SACRAMENTO CA
95825-6381
US

IV. Provider business mailing address

87 SCRIPPS DR STE 212
SACRAMENTO CA
95825-6381
US

V. Phone/Fax

Practice location:
  • Phone: 916-920-0371
  • Fax: 916-920-8533
Mailing address:
  • Phone: 916-920-0371
  • Fax: 916-920-8533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: ADAM MICHAEL URO
Title or Position: PRACTICE MANAGER
Credential:
Phone: 916-920-0371