Organization
POWAY CA MULTI SPECIALTY ASC LLC
Active
Other names
Poway Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
15611 POMERADO RD STE 220, POWAY, CA 92064-2437
(858) 521-0031
(858) 521-0921
Mailing address
1A BURTON HILLS BLVD., LICENSURE AND CERT DEPT, NASHVILLE, TN 37215-6187
(615) 263-4011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
01/20/2023
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