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Organization
SAN LUIS OBISPO CA ENDOSCOPY ASC LP
Active
Organization
SAN LUIS OBISPO CA ENDOSCOPY ASC LP
Active
Other names
Endoscopy Center of the Central Coast
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
77 CASA ST, SUITE 106, SAN LUIS OBISPO, CA 93405-5803
(805) 541-1021
(805) 541-3142
Mailing address
77 CASA ST, SUITE 106, SAN LUIS OBISPO, CA 93405-5803
(805) 541-1021
(805) 541-3142
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
050000424
CA
Other
Enumeration date
02/20/2006
Last updated
06/22/2022
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