Healthcare Provider Details

I. General information

NPI: 1871325589
Provider Name (Legal Business Name): SADDLE ROCK MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2024
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 CANAL BLVD
WENATCHEE WA
98801-3284
US

IV. Provider business mailing address

1025 CANAL BLVD
WENATCHEE WA
98801-3284
US

V. Phone/Fax

Practice location:
  • Phone: 210-986-4740
  • Fax:
Mailing address:
  • Phone: 210-986-4740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERT COMROE WERTZ
Title or Position: PARTNER
Credential: DO
Phone: 210-986-4740