# SYNERGY SURGICALISTS PC

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

## Provider details

- **NPI number:** 1932623782
- **Authorized official:** RICHARD MAKOWIEC MD (OWNER/CMO)
- **Authorized official phone:** (773) 425-3562

## Contact information

- **Practice address:** 155 GLASSON WAY STE L30, GRASS VALLEY, CA 95945-5723
- **Practice address phone:** (530) 274-6696
- **Practice address fax:** (530) 274-6697
- **Mailing address:** PO BOX 843512, DALLAS, TX 75284-3512
- **Mailing address phone:** (858) 759-7656
- **Mailing address fax:** (858) 201-4987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 08/02/2017
- **Last updated:** 03/14/2025