Organization
NORTH BAY ENDOSCOPY CENTER LLC
Active
Other names
the endosurgery center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J DENIGRIS MD (MEDICAL DIRECTOR)
(707) 938-9685
Entity
Organization
Contact information
Practice address
1383 N MCDOWELL BLVD, PETALUMA, CA 94954-1187
(707) 938-9685
(707) 938-9641
Mailing address
1383 N MCDOWELL BLVD, PETALUMA, CA 94954-1187
(707) 938-9685
(707) 938-9641
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
01/19/2009
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