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Organization
ST CLOUD MN OPHTHALMOLOGY ASC LLC
Active
Organization
ST CLOUD MN OPHTHALMOLOGY ASC LLC
Active
Other names
St. Cloud Center for Ophthalmic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2055 15TH ST N, SUITE B, SAINT CLOUD, MN 56303-1747
(320) 258-6620
(320) 258-6622
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
331176
MN
Other
Enumeration date
06/01/2006
Last updated
11/23/2022
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