Organization
WAVERLEY SURGERY CENTER LLC
Active
Other names
Waverley Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT OF LLC)
(615) 263-4011
Entity
Organization
Contact information
Practice address
400 FOREST AVE, PALO ALTO, CA 94301-2608
(650) 324-0600
(650) 289-1620
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
220000472
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SUR01547F
MEDICAL
CA
Enumeration date
03/07/2006
Last updated
10/19/2022
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