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Organization
WAVERLEY SURGERY CENTER LLC
Active
Organization
WAVERLEY SURGERY CENTER LLC
Active
Other names
Waverley Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT OF LLC)
(615) 263-4011
Entity
Organization
Contact information
Practice address
400 FOREST AVE, PALO ALTO, CA 94301-2608
(650) 324-0600
(650) 289-1620
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
220000472
CA
Other
Enumeration date
03/07/2006
Last updated
10/19/2022
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