Organization
SHADELANDS SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD TRUE PRESCOTT M.D. (MEMBER)
(925) 933-7100
Entity
Organization
Contact information
Practice address
100 N WIGET LN, SUITE #110, WALNUT CREEK, CA 94598-5988
(925) 933-7100
Mailing address
100 N WIGET LN, SUITE #110, WALNUT CREEK, CA 94598-5988
(925) 933-7100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
08/27/2008
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