Organization
AMSURG NORTH VALLEY ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP A CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
15255 N 40TH ST, BLDG 8, SUITE 157, PHOENIX, AZ 85032-4624
(602) 482-1011
(602) 482-0024
Mailing address
1A BURTON HILLS BLVD, ATTN: PROVIDER ENROLLMENT, NASHVILLE, TN 37215-6187
(615) 240-3809
(615) 234-1809
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
AZ
Other
Enumeration date
09/26/2011
Last updated
08/09/2016
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