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Organization
NORCAL SPECIALTY SURGERY CENTER, LLC
Active
Organization
NORCAL SPECIALTY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC STEPHAN SCHMIDT M.D. (OWNER)
(707) 396-5200
Entity
Organization
Contact information
Practice address
730 BENNETT VALLEY RD, SANTA ROSA, CA 95404-5514
(707) 396-5200
Mailing address
730 BENNETT VALLEY RD, SANTA ROSA, CA 95404-5514
(707) 396-5200
(707) 396-5257
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
20098510003
CA
Other
Enumeration date
02/24/2010
Last updated
07/27/2010
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