Organization
AMSURG STAMFORD ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A. CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
778 LONG RIDGE RD, STAMFORD, CT 06902-1265
(203) 322-2400
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
—
—
Other
Enumeration date
01/21/2014
Last updated
08/12/2016
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