Healthcare Provider Details

I. General information

NPI: 1588895155
Provider Name (Legal Business Name): SPECIALTY SURGEONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2009
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 W VIA LOLA #22
PALM SPRINGS CA
92262-4384
US

IV. Provider business mailing address

197 W VIA LOLA #22
PALM SPRINGS CA
92262-4384
US

V. Phone/Fax

Practice location:
  • Phone: 760-673-7267
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID MORROW
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 760-673-7267