Organization
AMBULATORY SURGERY CENTER OF EAGER STEVEN E MD GEN PTR
Active
Other names
Ambulatory Surgery Center of Stockton
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICKI CRAIG (ADMINISTRATOR)
(209) 944-9100
Entity
Organization
Contact information
Practice address
2388 N CALIFORNIA ST, STOCKTON, CA 95204-5506
(209) 944-9100
(209) 944-4509
Mailing address
2388 N CALIFORNIA ST, STOCKTON, CA 95204-5506
(209) 944-9100
(209) 944-4509
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
030000758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01508F
—
CA
Enumeration date
05/23/2006
Last updated
08/19/2010
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