Organization
PAVILION SURGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E MCCARVILLE (ADMINISTRATOR)
(417) 889-2040
Entity
Organization
Contact information
Practice address
245 HOSPITAL DR., 100, UKIAH, CA 95482
(707) 462-4905
Mailing address
245 HOSPITAL DR., 100, UKIAH, CA 95482
(707) 462-4905
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
02/09/2009
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