# AMADOR SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225096498
- **Authorized official:** DR. DAVID DUTRA DPM (PRESIDENT)
- **Authorized official phone:** (209) 223-5938

## Contact information

- **Practice address:** 223 CLINTON ROAD, SUITE 204, JACKSON, CA 95642-2680
- **Practice address phone:** (209) 223-5938
- **Practice address fax:** (209) 257-1599
- **Mailing address:** 223 CLINTON ROAD, SUITE 204, JACKSON, CA 95642-2680
- **Mailing address phone:** (209) 223-5938
- **Mailing address fax:** (209) 257-1599

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 04/20/2008