Organization
ADVANCED SURGERY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF SIMMONS (BOARD MEMBER)
(707) 538-8299
Entity
Organization
Contact information
Practice address
1739 4TH ST, SANTA ROSA, CA 95404-3601
(707) 396-0138
(707) 538-8299
Mailing address
1739 4TH ST, SANTA ROSA, CA 95404-3601
(707) 396-0138
(707) 538-8299
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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