Bend Surgery Center Llc

NPI 1376536482 - Clinic/Center - 261QA1903X

NPI Details
NPI 1376536482
Enumeration Date 08/24/2005
Last Updated 07/09/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PHILLIP PHILLIP
Position PRESIDENT OF LLC
Phone (541) 318-0858
Fax (541) 318-6740
Practice Location
1303 NE CUSHING DR
SUITE 200
BEND OR, 97701-3887, US
Phone (541) 318-0858
Fax (541) 318-6740
Business Location
20 BURTON HILLS BLVD STE 500
ATTN: L&C
NASHVILLE TN, 37215-6176, US
Phone (615) 240-3820
Fax (615) 234-1720
Toxanomy
Taxonomy Code 261QA1903X
License State Oregon
License Number 393625
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According to our database, Bend Surgery Center Llc NPI is 1376536482, taxonomy code is 261QA1903X and license number is 393625, license state is located at Oregon. Bend Surgery Center Llc physically located at 1303 Ne Cushing Dr, Bend OR, 97701-3887. NPI Number 1033115704 has the healthcare provider type.

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1376536482 NPI number is provided on an as is basis without warranty of any kind. 1376536482 is maintained by the National Plan & Provider Enumeration System. The contents of Bend Surgery Center Llc are for informational purposes only.