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Organization

PREMIER SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN DEGNAN M.D. (CEO)
(925) 691-5000
Entity
Organization

Contact information

Practice address
2222 EAST ST, SUITE 200, CONCORD, CA 94520-2084
(925) 691-5000
(925) 691-5023
Mailing address
2222 EAST ST, SUITE 200, CONCORD, CA 94520-2084
(925) 691-5000
(925) 691-5023

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
140000668
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SUR01610F
CA
Enumeration date
03/08/2006
Last updated
02/05/2013
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