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Organization
MID-VALLEY SURGICENTER INC
Active
Organization
MID-VALLEY SURGICENTER INC
Active
Other names
Riverside Outpatient Surgical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A HARDESTY M.D. (MEDICAL DIRECTOR)
(951) 784-4088
Entity
Organization
Contact information
Practice address
4500 BROCKTON AVE, SUITE 105, RIVERSIDE, CA 92501-4090
(951) 784-4088
(951) 784-4089
Mailing address
4500 BROCKTON AVE, SUITE 105, RIVERSIDE, CA 92501-4090
(951) 784-4088
(951) 784-4089
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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