Organization
MARSHALL SURGERY CENTER, LLC
Active
Other names
Marshall Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA PONCE-FAIR RN (ADMINISTRATOR)
(530) 676-6125
Entity
Organization
Contact information
Practice address
3501 PALMER DR, STE 100, CAMERON PARK, CA 95682-8276
(530) 676-6120
(530) 676-6130
Mailing address
3501 PALMER DR, STE 100, CAMERON PARK, CA 95682-8276
(530) 676-6120
(530) 676-6130
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
06/13/2005
Last updated
08/22/2020
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