Organization · Type 2 NPI

Chisholm Bruce B MC Asc

Ambulatory Surgical Clinic/Center · Rancho Mirage, CA

NPI number 1700096005 Active

Practice location

39300 Bob Hope Dr, Bannan Bldg 1208
Rancho Mirage, CA 92270-3203

Call (760) 779-9559 Map

Fax (760) 779-5077

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XG81937 (CA)

Ambulatory Surgical Clinic/Center: Definition to come...

12 other providers at this address

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About NPI 1700096005

Chisholm Bruce B MC Asc's National Provider Identifier is 1700096005, issued on May 23, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Rancho Mirage, CA. The record was last updated on Aug 22, 2020.