Organization
TRACY SURGERY CENTER, LLC
Active
Other names
Tracy Surgery Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
2160 W GRANT LINE RD, SUITE 120, TRACY, CA 95377-7330
(209) 836-5680
Mailing address
2160 W GRANT LINE RD, SUITE 120, TRACY, CA 95377-7330
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
03/06/2023
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