NPI | 1114921541 |
---|---|
Doing Business As | CAPITOL CITY SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | BRADLEY HEATON CEO, Sscd 916-566-4907 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 030000780) |
Enumeration Date | 2005-06-13 |
Last Update Date | 2024-04-17 |