Organization
MARIN ENDOSCOPY CENTER, LLC
Active
Other names
Endoscopy Center of Marin
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1100 S ELISEO DR, SUITE 3, GREENBRAE, CA 94904-2017
(415) 464-0606
(416) 464-0644
Mailing address
1100 S ELISEO DR, SUITE 3, GREENBRAE, CA 94904-2017
(415) 464-0606
(416) 464-0644
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
110000421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01438F
—
CA
Enumeration date
08/25/2005
Last updated
06/22/2022
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