Organization
FIRST INTERVENTIONAL SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F PETRAGLIA M.D. (OWNER)
(559) 431-6211
Entity
Organization
Contact information
Practice address
6210 N 1ST ST, FRESNO, CA 93710-5446
(559) 431-6211
(559) 431-6202
Mailing address
PO BOX 3969, CERRITOS, CA 90703-3969
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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