Organization
PENINSULA ENDOSCOPY CENTER LLC
Active
Other names
Mid Peninsula Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D DAVIS (CEO ADN AUTHORIZED OFFICIAL)
(916) 566-4770
Entity
Organization
Contact information
Practice address
1720 EL CAMINO REAL, SUITE 100, BURLINGAME, CA 94010-3224
(650) 373-1970
Mailing address
1720 EL CAMINO REAL, SUITE 100, BURLINGAME, CA 94010-3224
(650) 373-1970
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2010
Last updated
06/06/2016
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