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1164749842
AMSURG SAN LUIS OBISPO ANESTHESIA, LLC
SAN LUIS OBISPO, CA
NPI
1164749842
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Entity Type
Organization
Authorized Contact
PHILLIP CLENDENIN
President Of Lp
615-665-1283
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2010-04-21
Last Update Date
2016-08-09
Business Address
AMSURG SAN LUIS OBISPO ANESTHESIA, LLC
77 CASA ST SUITE 106
SAN LUIS OBISPO, CA 93405-5803
Phone number: 805-541-1021
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Mailing Address
AMSURG SAN LUIS OBISPO ANESTHESIA, LLC
1A BURTON HILLS BLVD ATTN: PROVIDER ENROLLMENT
NASHVILLE, TN 37215-6187
Phone number: 615-240-3809
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