# DAVIS SURGERY CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Davis Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205894466
- **Authorized official:** MR. PHILLIP A CLENDENIN (PRESIDENT OF LP)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 2120 COWELL BLVD, SUITE 142, DAVIS, CA 95618-7840
- **Practice address phone:** (530) 750-7766
- **Practice address fax:** (530) 750-7767
- **Mailing address:** 20 BURTON HILLS BLVD., SUITE 500 ATTN: L&C, NASHVILLE, TN 37215-6176
- **Mailing address phone:** (615) 240-3820
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 030001792 | CA | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 09/07/2023