NPI | 1225001423 |
---|---|
Doing Business As | GLENDALE EYE SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | PHILLIP A CLENDENIN President 615-665-1283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: CA 930000717) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2023-09-07 |