Organization
SUTTER GOULD MEDICAL FOUNDATION
Active
Parent organization
SUTTER HEALTH
Other names
Stockton Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUTTER HEALTH
Authorized official
DR. STEVEN A MITNICK MD (MEDICAL DIRECTOR)
(209) 521-6097
Entity
Organization
Contact information
Practice address
8011 DON AVE, STOCKTON, CA 95209
(209) 955-3047
Mailing address
8011 DON AVE, STOCKTON, CA 95209
(209) 955-3047
(209) 473-9382
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2008
Last updated
03/06/2020
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