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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
837620400
—
MN
Enumeration date
06/01/2006
Last updated
11/23/2022
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