Organization
PACIFIC RESTORATIVE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON POPE MD (MEDICAL DIRECTOR)
(707) 623-9803
Entity
Organization
Contact information
Practice address
1456 PROFESSIONAL DRIVE, SUITE 404, PETALUMA, CA 94954
(707) 800-7633
(707) 843-3485
Mailing address
1456 PROFESSIONAL DRIVE, SUITE 404, PETALUMA, CA 94954
(707) 800-7633
(707) 843-3485
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2015
Last updated
05/12/2017
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