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Organization
SONORA COMMUNITY HOSPITAL
Active
Organization
SONORA COMMUNITY HOSPITAL
Active
Parent organization
SONORA COMMUNITY HOSPITAL
Other names
Sierra Vascular Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SONORA COMMUNITY HOSPITAL
Authorized official
DAVID L LARSEN (VICE PRESIDENT FOR FINANCE)
(209) 536-5011
Entity
Organization
Contact information
Practice address
680 GUZZI LN, STE 104, SONORA, CA 95370-5288
(209) 536-5090
(209) 536-3585
Mailing address
14542 LOLLY LN, SONORA, CA 95370-9226
(209) 536-2760
(209) 533-7696
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/28/2007
Last updated
06/04/2009
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