Organization
GENERAL AND ROBOTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA FORSHEY (CREDENTIALING MANAGER)
(209) 956-7725
Entity
Organization
Contact information
Practice address
18701 N 67TH AVE, GLENDALE, AZ 85308-7100
(623) 561-1000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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