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Organization
AMADOR SURGERY CENTER
Active
Organization
AMADOR SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DUTRA DPM (PRESIDENT)
(209) 223-5938
Entity
Organization
Contact information
Practice address
223 CLINTON ROAD, SUITE 204, JACKSON, CA 95642-2680
(209) 223-5938
(209) 257-1599
Mailing address
223 CLINTON ROAD, SUITE 204, JACKSON, CA 95642-2680
(209) 223-5938
(209) 257-1599
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
05/03/2006
Last updated
04/20/2008
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