Organization
ALAMO SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERY D TARASENKO MD (MEDICAL DIRECTOR)
(707) 359-2255
Entity
Organization
Contact information
Practice address
200 BUTCHER RD, SUITE A, VACAVILLE, CA 95687-5616
(707) 359-2255
(707) 359-2259
Mailing address
200 BUTCHER RD, SUITE A, VACAVILLE, CA 95687-5616
(707) 359-2255
(707) 359-2259
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A72444
CA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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