Organization
PACIFIC ADVANCED SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BRUNTLETT (COO)
(707) 495-9632
Entity
Organization
Contact information
Practice address
191 LYNCH CREEK WAY STE 101, PETALUMA, CA 94954-2389
(707) 495-9632
Mailing address
191 LYNCH CREEK WAY STE 101, PETALUMA, CA 94954-2389
(707) 495-9632
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/09/2022
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