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1679939318
CRATER LAKE SURGERY CENTER LLC
MEDFORD, OR
NPI
1679939318
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Entity Type
Organization
Authorized Contact
JOSEPH SAVINO
Member
541-779-5228
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2016-01-11
Last Update Date
2018-06-18
Business Address
CRATER LAKE SURGERY CENTER LLC
833 BENNETT AVE
MEDFORD, OR 97504-6715
Phone number: 541-779-5228
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Mailing Address
CRATER LAKE SURGERY CENTER LLC
825 BENNETT AVE
MEDFORD, OR 97504-6715
Phone number:
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