Organization
RENAISSANCE SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER / AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
2365 E FIR AVE, FRESNO, CA 93720-8016
(559) 797-9100
(559) 797-9103
Mailing address
2365 E FIR AVE, FRESNO, CA 93720-8016
(559) 797-9100
(559) 797-9103
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
550000544
CA
Other
Enumeration date
01/12/2007
Last updated
12/04/2024
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