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Organization
SIERRA VISTA MEDICAL PAVILION AMBULATORY SURGERY SUITE
Active
Organization
SIERRA VISTA MEDICAL PAVILION AMBULATORY SURGERY SUITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES THORNTON MD (PHYSICIAN OWNER)
(805) 544-6471
Entity
Organization
Contact information
Practice address
77 CASA STREET, STE 203, SAN LUIS OBISPO, CA 93405
(805) 544-6471
(805) 544-4913
Mailing address
77 CASA STREET, STE 203, SAN LUIS OBISPO, CA 93405
(805) 544-6471
(805) 544-4913
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
G42294
CA
Other
Enumeration date
02/13/2007
Last updated
06/24/2008
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