Organization
DIGESTIVE ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY E SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
4340 CLYO RD STE 100, DAYTON, OH 45459-7000
(937) 534-7330
(937) 297-2208
Mailing address
1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
(615) 240-3741
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0386AS
OH
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017856
—
OH
Enumeration date
02/06/2006
Last updated
05/06/2022
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