Organization
VITAL SURGICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELBY JOBE (CEO)
(831) 212-2123
Entity
Organization
Contact information
Practice address
2848 MARIPOSA ST, FRESNO, CA 93721-1308
(831) 212-2123
Mailing address
2349 WAYFARER DR, DISCOVERY BAY, CA 94505-9225
(831) 212-2123
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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