Provider Demographics
NPI:1871325589
Name:SADDLE ROCK MEDICAL GROUP
Entity type:Organization
Organization Name:SADDLE ROCK MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:COMROE
Authorized Official - Last Name:WERTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:210-986-4740
Mailing Address - Street 1:1025 CANAL BLVD
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-3284
Mailing Address - Country:US
Mailing Address - Phone:210-986-4740
Mailing Address - Fax:
Practice Address - Street 1:1025 CANAL BLVD
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-3284
Practice Address - Country:US
Practice Address - Phone:210-986-4740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health