# MARSHALL SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marshall Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114922549
- **Authorized official:** MRS. MARTHA PONCE-FAIR RN (ADMINISTRATOR)
- **Authorized official phone:** (530) 676-6125

## Contact information

- **Practice address:** 3501 PALMER DR, STE 100, CAMERON PARK, CA 95682-8276
- **Practice address phone:** (530) 676-6120
- **Practice address fax:** (530) 676-6130
- **Mailing address:** 3501 PALMER DR, STE 100, CAMERON PARK, CA 95682-8276
- **Mailing address phone:** (530) 676-6120
- **Mailing address fax:** (530) 676-6130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 06/13/2005
- **Last updated:** 08/22/2020