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Organization

BAYSPINE SURGERY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER W. SHORTZ M.D. (CEO)
(510) 243-2130
Entity
Organization

Contact information

Practice address
3065 RICHMOND PKWY STE 100, RICHMOND, CA 94806-5719
(510) 243-2130
Mailing address
3065 RICHMOND PKWY STE 100, RICHMOND, CA 94806-5719
(510) 243-2130

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
07/12/2007
Last updated
07/12/2007
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