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Organization
TRI-VALLEY AMBULATORY SURGERY CENTER, LLC
Active
Organization
TRI-VALLEY AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYANN DEGRAFF (VICE PRESIDENT OF OPERATIONS)
(925) 200-2673
Entity
Organization
Contact information
Practice address
1133 E STANLEY BLVD STE 251, LIVERMORE, CA 94550-4200
(925) 847-3000
Mailing address
1133 E STANLEY BLVD STE 251, LIVERMORE, CA 94550-4200
(925) 847-3000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/06/2021
Last updated
05/13/2021
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