Redwood Empire Surgery Center, INC

NPI #1881806453 in Windsor, California

Provider Information

NPI Number
1881806453
Entity Type
Organization
Organization Name
Redwood Empire Surgery Center, INC
Subpart
Yes (part of a larger organization)
Parent Organization
PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST, INC.
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 4, 2007
Last Updated
Mar 23, 2009

Practice Location

Address
1380 19TH HOLE DR
ZIP Code
95492-7713
Phone
(707) 838-6560

Authorized Official

Name
MS. JULIE BELLE TUCKER, RN
Title
ADMINISTRATOR/DIRECTOR OF NURSING
Phone
(707) 838-6560

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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