Asc Nca

NPI 1003940594 - Clinic/Center - 261QA1903X

NPI Details
NPI 1003940594
Enumeration Date 03/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DOUGLAS DOUGLAS
Position AR DIRECTOR
Phone (408) 358-4845
Fax
Practice Location
15151 NATIONAL AVE
LOS GATOS CA, 95032-2627, US
Phone (408) 358-4845
Fax
Business Location
27087 GRATIOT AVE
ROSEVILLE MI, 48066-2947, US
Phone
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Asc Nca NPI is 1003940594, taxonomy code is 261QA1903X Asc Nca physically located at 15151 National Ave, Los Gatos CA, 95032-2627. NPI Number 1033115704 has the healthcare provider type.

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1003940594 NPI number is provided on an as is basis without warranty of any kind. 1003940594 is maintained by the National Plan & Provider Enumeration System. The contents of Asc Nca are for informational purposes only.