Organization
ROSEVILLE ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ROSS (ADMINISTRATOR)
(916) 781-5263
Entity
Organization
Contact information
Practice address
4 MEDICAL PLAZA DR, SUITE #210, ROSEVILLE, CA 95661-2815
(916) 773-8780
(916) 773-8793
Mailing address
4 MEDICAL PLAZA DR, SUITE #210, ROSEVILLE, CA 95661-2815
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
030000786
CA
Other
Enumeration date
05/09/2006
Last updated
02/05/2013
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