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NPI Code Detail

MEDICARE: PLASTIC SURGERY ASSOCIATES

MEDICARE: PLASTIC SURGERY ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1538201587
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLASTIC SURGERY ASSOCIATES
Provider Business Mailing Address
First Line : 4625 QUIGG DR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95409-5377
Country : US
Telephone Number : 707-537-2111
Fax Number : 707-537-2119
Provider Business Practice Location Address
First Line : 4625 QUIGG DR
Second Line :
City : SANTA ROSA
State : CA
Zip : 95409-5377
Country : US
Telephone Number : 707-537-2111
Fax Number : 707-537-2119
Authorized Official
Title or Position : SECRETARY
Name : DR. HEATHER JEAN FURNAS
Credential : M.D.
Telephone Number : 707-537-2111
Provider Enumeration Date : 02/13/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1164593497 — DR. HEATHER JEAN FURNAS MD
Practice Location Address:
4625 QUIGG DR
SANTA ROSA, CA
95409-5377
Practice Phone: 707-537-2111
Practice Fax: 707-537-2119
1194884270 — DR. FRANCISCO L CANALES M.D.
Practice Location Address:
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1295878874 — THE SURGERY SUITE
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1821126491 — DR. ERIC CULBERTSON M.D.
Practice Location Address:
4625 QUIGG DR
SANTA ROSA, CA
95409-5377
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Practice Fax: 707-537-2119
1164885455 — MELINDA JOY WONG FNP
Practice Location Address:
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SANTA ROSA, CA
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Practice Fax:
1841774759 — NORTHERN CALIFORNIA MEDICAL ASSOC INC
Practice Location Address:
4625 QUIGG DR
SANTA ROSA, CA
95409-5377
Practice Phone: 707-537-2111
Practice Fax: 707-537-2119

Directions to “PLASTIC SURGERY ASSOCIATES ” Practice Location

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