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Organization

BARTON HEALTHCARE SYSTEM

Active
Other names
Lake Tahoe Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLINTON D PURVANCE MD (PRESIDENT/CEO)
(530) 543-5840
Entity
Organization

Contact information

Practice address
212 ELKS POINT RD, SUITE 201, ZEPHYR COVE, NV 89448-8001
(775) 588-9188
(775) 588-4337
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 541-3420
(530) 541-8723

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1888ASC
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700963725
NV
Enumeration date
11/01/2006
Last updated
08/17/2023
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