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Organization
SOAR SURGERY CENTER, LLC
Active
Organization
SOAR SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F. DILLINGHAM MD (GENERAL MANAGING PARTNER)
(650) 539-6000
Entity
Organization
Contact information
Practice address
1849 BAYSHORE HWY, BURLINGAME, CA 94010-1215
(650) 539-6000
(650) 539-6001
Mailing address
1849 BAYSHORE HWY, BURLINGAME, CA 94010-1215
(650) 539-6000
(650) 539-6001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
NULL
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
NULL
Other
Enumeration date
06/04/2010
Last updated
12/02/2016
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