Provider First Line Business Practice Location Address:
2900 CHANTICLEER AVE.
Provider Second Line Business Practice Location Address:
ANESTHESIOLOGY DEPT
Provider Business Practice Location Address City Name:
SANTA CRUZ
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95062-1323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-477-2288
Provider Business Practice Location Address Fax Number:
831-477-2211
Provider Enumeration Date:
04/04/2006