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Organization
POWAY CA MULTI SPECIALTY ASC LLC
Active
Organization
POWAY CA MULTI SPECIALTY ASC LLC
Active
Other names
Poway Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
15611 POMERADO RD STE 220, POWAY, CA 92064-2437
(858) 521-0031
(858) 521-0921
Mailing address
1A BURTON HILLS BLVD., LICENSURE AND CERT DEPT, NASHVILLE, TN 37215-6187
(615) 263-4011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/18/2007
Last updated
01/20/2023
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