Organization
RIVERWOODS SURGERY GROUP
Active
Other names
RIVERWOODS SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA DELA PAVA (VICE-PRESIDENT)
(801) 613-1032
Entity
Organization
Contact information
Practice address
956 SACRAMENTO ST APT 503, SAN FRANCISCO, CA 94108-2041
(801) 613-1032
Mailing address
956 SACRAMENTO ST APT 503, SAN FRANCISCO, CA 94108-2041
(801) 613-1032
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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