Provider Demographics
NPI:1154830180
Name:MFC SURGERY CENTER
Entity Type:Organization
Organization Name:MFC SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:STEVAN
Authorized Official - Last Name:UZELAC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-925-9404
Mailing Address - Street 1:1100 S ELISEO DR
Mailing Address - Street 2:STE 107
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904
Mailing Address - Country:US
Mailing Address - Phone:415-925-9404
Mailing Address - Fax:415-484-7045
Practice Address - Street 1:1100 S ELISEO DR
Practice Address - Street 2:STE 107
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904
Practice Address - Country:US
Practice Address - Phone:415-925-9404
Practice Address - Fax:415-484-7045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty