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Organization
BARTH VISION SURGICAL SUITE LLC
Active
Organization
BARTH VISION SURGICAL SUITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BARTH MD (MEDICAL DIRECTOR)
(707) 955-1120
Entity
Organization
Contact information
Practice address
1035 2ND ST, SANTA ROSA, CA 95404-6608
(707) 955-1120
Mailing address
1035 2ND ST, SANTA ROSA, CA 95404-6608
(707) 955-1120
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
NULL
Other
Enumeration date
06/17/2022
Last updated
08/22/2023
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