| NPI | 1497720882 |
|---|---|
| Doing Business As | DES PERES SQUARE 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: MO 171-1) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-09-07 |