Organization
SURGITEK OUTPATIENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILEY M ELICK DDS (OWNER DIRECTOR PRESIDENT)
(559) 582-0238
Entity
Organization
Contact information
Practice address
460 N GREENFIELD, SUITE #8, HANFORD, CA 93230
(559) 582-0238
(559) 582-9341
Mailing address
460 N GREENFIELD, SUITE #8, HANFORD, CA 93230
(559) 582-0238
(559) 582-9341
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01347G
—
CA
Enumeration date
11/02/2006
Last updated
10/10/2011
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