Organization
ROBERT E WAILES MD A PROFESSIONAL
Active
Other names
Pacific Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT EUGENE WAILES M.D. (CEO)
(760) 753-1104
Entity
Organization
Contact information
Practice address
3998 VISTA WAY STE C106, OCEANSIDE, CA 92056-4500
(760) 941-2600
(760) 941-4814
Mailing address
477 N. EL CAMINO REAL STE B301, ENCINITAS, CA 92024
(760) 753-1104
(760) 943-6494
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
09/21/2016
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