# IRON HORSE SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710422423
- **Authorized official:** MR. MARSHALL LEWIS MD (PARTNER)
- **Authorized official phone:** (661) 852-4112

## Contact information

- **Practice address:** 100 PARK PLACE, \#110B, SAN RAMON, CA 94583
- **Practice address phone:** (925) 331-8520
- **Mailing address:** 100 PARK PLACE, \#110B, SAN RAMON, CA 94583
- **Mailing address phone:** (661) 852-4112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 06/24/2019
