| Digestive Endoscopy Center Llc | |
|
4340 Clyo Rd Ste 100 Dayton OH 45459-7000 | |
| (937) 534-7330 | |
| (937) 297-2208 |
| Full Name | Digestive Endoscopy Center Llc |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 4340 Clyo Rd Ste 100, Dayton, Ohio |
| Authorized Official Name and Position | Jeffrey E Snodgrass (PRESIDENT) |
| Authorized Official Contact | 6156651283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Endoscopy Center Llc 1a Burton Hills Blvd Nashville TN 37215-6187 Ph: (615) 240-3741 | Digestive Endoscopy Center Llc 4340 Clyo Rd Ste 100 Dayton OH 45459-7000 Ph: (937) 534-7330 |
| NPI Number | 1003888710 |
|---|---|
| Provider Enumeration Date | 02/06/2006 |
| Last Update Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003888710 | NPI | - | NPPES |
| 2017856 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0386AS (Ohio) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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