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Organization
DOVER OPHTHALMOLOGY ASC, LLC
Active
Organization
DOVER OPHTHALMOLOGY ASC, LLC
Active
Other names
Blue Hen Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
655 S BAY RD, SUITE 5B, DOVER, DE 19901-4615
(302) 678-4688
(302) 678-4625
Mailing address
20 BURTON HILLS BLVD., SUITE 500, ATTN: L&C, NASHVILLE, TN 37215-6176
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
FSSC-005
DE
Other
Enumeration date
02/09/2006
Last updated
09/07/2023
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