institution
Specialty Care And Surgery Center
Gynecology Physician in Kelseyville, California
NPI 1073648630

Specialty Care And Surgery Center is a Gynecology Physician based in Kelseyville, CA and is specialized in Gynecology. Specialty Care And Surgery Center practices in Kelseyville, CA. The NPI Number for Specialty Care And Surgery Center is 1073648630 and holds a License No. G6256 (California).

The current practice location address for Specialty Care And Surgery Center is 5685 Main St, Kelseyville, CA and can be reached out via phone at 707-279-8733 and via fax at 707-279-8731.

Location: 5685 Main St, Kelseyville, CA, 95451-8945
institution
Provider Profile Details
NPI Number
1073648630
Provider Name
Specialty Care And Surgery Center
Credential
Provider Entity Type
Organization
Address
5685 Main St, Kelseyville, CA, 95451-8945
Phone Number
707-279-8733
Fax Number
707-279-8731
Provider Enumeration Date
02/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G625260 05 CA
institution
Provider Business Practice Location Address Details
Address
5685 Main St
City
State
Zip
95451-8945
Phone Number
707-279-8733
Fax Number
707-279-8731
person
Provider Business Mailing Address Details
Address
5685 Main St
City
State
Zip
95451-8945
Phone Number
707-279-8733
Fax Number
707-279-8731
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
G6256 (California)
Definition
Definition to come...
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