Organization
DIGESTIVE ENDOSCOPY CENTER LLC
Active
Other names
Digestive Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY E. SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
5697 SHULL RD STE 100, HUBER HEIGHTS, OH 45424-1203
(937) 534-7330
(937) 297-2208
Mailing address
1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
(615) 240-3720
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1211AS
STATE LICENSE
OH
05
—
2017856
—
OH
Enumeration date
02/06/2006
Last updated
05/10/2022
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