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Organization

NORCAL SPECIALTY SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC STEPHAN SCHMIDT M.D. (OWNER)
(707) 396-5200
Entity
Organization

Contact information

Practice address
730 BENNETT VALLEY RD, SANTA ROSA, CA 95404-5514
(707) 396-5200
Mailing address
730 BENNETT VALLEY RD, SANTA ROSA, CA 95404-5514
(707) 396-5200
(707) 396-5257

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
20098510003
CA

Other

Enumeration date
02/24/2010
Last updated
07/27/2010
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