The Surgery Suite

NPI 1295878874 - Clinic/Center - 261QA1903X

NPI Details
NPI 1295878874
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HEATHER JEAN HEATHER
Position SECRETARY
Phone (707) 537-2111
Fax (707) 537-2119
Practice Location
4625 QUIGG DR
SANTA ROSA CA, 95409-5377, US
Phone (707) 537-2111
Fax (707) 537-2119
Business Location
4625 QUIGG DR
SANTA ROSA CA, 95409-5377, US
Phone (707) 537-2111
Fax (707) 537-2119
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, The Surgery Suite NPI is 1295878874, taxonomy code is 261QA1903X The Surgery Suite physically located at 4625 Quigg Dr, Santa Rosa CA, 95409-5377. NPI Number 1033115704 has the healthcare provider type.

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1295878874 NPI number is provided on an as is basis without warranty of any kind. 1295878874 is maintained by the National Plan & Provider Enumeration System. The contents of The Surgery Suite are for informational purposes only.