NPI | 1316190796 |
---|---|
Doing Business As | STOCKTON SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | STEVEN A MITNICK Medical Director 209-521-6097 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2008-10-29 |
Last Update Date | 2020-03-06 |