PHOENIX OPHTHALMOLOGY ASC LLC
Ambulatory Health at Osborn Rd, Phoenix, AZ

License number
Arizona OSC0082
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. PHILLIP A CLENDENIN
Title: PRESIDENT
Phone: (615) 665-1283
Address
Address
300 E Osborn Rd SUITE 102, Phoenix, AZ 85012
National Provider ID: 1760454557
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THE PHOENIX OPHTHALMOLOGY ASC, LLC

Phoenix, AZ  -  Nashville, TN

Registration:
Feb 3, 1998
Addresses:
300 E Osborn Rd #102, Phoenix, AZ 85012 (Physical)
1A Burton Hl Blvd, Nashville, TN 37215 (Foreign)
State ID:
R-0831411-5
Agent:
National Registered Agents Inc,2390 E Camelback Rd, Phoenix, AZ 85016 (Physical)

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