Organization
CENTRAL COAST INSTITUTE FOR PLASTIC SURGERY, AMC
Active
Other names
Gary R Donath MD Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY R DONATH MD (PRESIDENT)
(805) 544-6000
Entity
Organization
Contact information
Practice address
1531 HIGUERA ST, SAN LUIS OBISPO, CA 93401-2917
(805) 544-6000
(805) 544-5460
Mailing address
1531 HIGUERA ST, SAN LUIS OBISPO, CA 93401-2917
(805) 544-6000
(805) 544-5460
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A50869
CA
Other
Enumeration date
02/12/2008
Last updated
05/21/2008
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