Organization
AFFILIATED AMBULATORY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT A SCARBOROUGH M.D. (MEDICAL DIRECTOR)
(614) 764-1711
Entity
Organization
Contact information
Practice address
650 SHAWAN FALLS DR, DUBLIN, OH 43017-2100
(614) 764-1711
(614) 889-2652
Mailing address
650 SHAWAN FALLS DR, DUBLIN, OH 43017-2100
(614) 764-1711
(614) 889-2652
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0059AS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC00000B42
ANTHEM PIN NUMBER
OH
01
—
BC00001B42
ANTHEM SR. ADVANTAGE PIN
OH
Enumeration date
08/17/2005
Last updated
02/04/2008
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