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Organization

BLACKHAWK SURGERY CENTER, A MEDICAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN J. RONAN M.D. (OWNER)
(925) 736-5757
Entity
Organization

Contact information

Practice address
3601 BLACKHAWK PLAZA CIRCLE, DANVILLE, CA 94506
(925) 736-5757
(925) 736-5763
Mailing address
11999 SAN VICENTE BL., # 440, LOS ANGELES, CA 90049
(310) 440-3131
(310) 472-9582

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
07/03/2006
Last updated
10/31/2007
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