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Surgery Physician

NPI: 1992002083Organization

Specialties, Licenses & Credentials

Multi-Specialty Clinic/Center

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Surgery PhysicianPrimary

Surgery

Code: 208600000X

Contact & Hours

Address: 15322 LAKESHORE DR, SUITE 102
CLEARLAKE, CA 95422
Phone: (707) 995-4519

Quick Facts

NPI: 1992002083
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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