| NPI | 1417580028 |
|---|---|
| Doing Business As | ASC - JEFFERSON |
| Entity Type | Organization |
| Authorized Contact | BRETTE TANDE Corporate Sr. Vice President, CFO 858-678-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2024-08-08 |