# DOCTORS PARK SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417906660
- **Authorized official:** JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 2090 NE WYATT CT, SUITE 102, BEND, OR 97701-7687
- **Practice address phone:** (541) 389-5931
- **Practice address fax:** (541) 389-5932
- **Mailing address:** 1A BURTON HILLS BLVD \# L&C, NASHVILLE, TN 37215-6187
- **Mailing address phone:** (615) 240-3820
- **Mailing address fax:** (615) 234-1720

## Taxonomy

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

## Other

- **Enumeration date:** 05/07/2006
- **Last updated:** 08/30/2022