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NPI Provider: 1447255435
Contact Name: Tran A. Douglas
Position: Doctor
Phone: (714) 274-0388
Mile Square Surgery Center Information:
Mile Square Surgery Center organization have npi 1447255435, taxonomy code is 261QA1903X with license number is S051526 in . This Business address located in 10760 Warner Avenue, Fountain Valley, CA 92708 California. Get directions of Mile Square Surgery Center.
Practice Location
Address: 10760 Warner Avenue, Fountain Valley, CA 92708
Phone: (714) 274-0388
Business Location
Address: 10760 Warner Avenue, Fountain Valley, CA 92708
Phone: (714) 274-0388
Fax: (714) 274-0387
Taxonomy
Taxonomy Code: 261QA1903X
License Number: S051526
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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