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Organization
NOVAMED SURGERY CENTER OF SANTA ROSA, LLC
Active
Organization
NOVAMED SURGERY CENTER OF SANTA ROSA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT T. MACOMBER (EXECUTIVE VP & CFO)
(312) 780-3234
Entity
Organization
Contact information
Practice address
1720 4TH ST, SANTA ROSA, CA 95404-3602
(707) 546-8100
(707) 544-6438
Mailing address
1720 4TH ST, SANTA ROSA, CA 95404-3602
(707) 546-8100
(707) 544-6438
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
APPLIED FOR
CA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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