COFFEE ROAD SURGERY CENTER, LLC

MODESTO, CA
NPI1134947328
Entity TypeOrganization
Authorized ContactERIC BOON
Officer/AO
480-567-0269
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date2024-09-27
Last Update Date2026-02-02
Business Address
COFFEE ROAD SURGERY CENTER, LLC
1335 COFFEE RD STE 201
MODESTO, CA 95355-3192
Phone number: 209-492-0483
Mailing Address
COFFEE ROAD SURGERY CENTER, LLC
1335 COFFEE RD STE 201
MODESTO, CA 95355-3192
Phone number: 209-492-0483
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