Pavilion Surgical Services LLC

NPI #1790969301 in Ukiah, California

Provider Information

NPI Number
1790969301
Entity Type
Organization
Organization Name
Pavilion Surgical Services LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 19, 2007
Last Updated
Feb 9, 2009

Practice Location

Address
245 HOSPITAL DR.
Address 2
100
City
Ukiah
ZIP Code
95482
Phone
(707) 462-4905

Authorized Official

Name
MR. ROBERT E MCCARVILLE
Title
ADMINISTRATOR
Phone
(417) 889-2040

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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