Organization
NATIONAL SURGICAL CENTERS STOCKTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE L BOONE RN (CHIEF NURSING OFFICER)
(312) 919-9560
Entity
Organization
Contact information
Practice address
415 E HARDING WAY STE E, STOCKTON, CA 95204-6118
(310) 919-9560
Mailing address
561 WINDING BROOK FARM RD, WATERTOWN, CT 06795-1747
(310) 919-9560
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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