| Organization Name: | DIGESTIVE ENDOSCOPY CENTER LLC |
| NPI Number: | 1144416587 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILLIP A CLENDENIN (PRESIDENT) |
| Mailing Address: | 77 Eleanor Dr Springboro |
| State: | OH US |
| Postal Code: | 450661311 |
| Phone Number: | 9372934424 |
| Fax Number: | 9373953682 |
| NPI Enumeration Date: | 09/19/2007 |
| NPI Last Update Date: | 04/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |