is a Ambulatory Surgical in Las Vegas, Nevada. practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for is 1417114166. The last update date is .
's current location address is 5915 S Rainbow Blvd Ste 108, Las Vegas, Nevada. You can contact this provider via phone number 7022277959 and fax number 7022276344. The mailing address for is 5915 S Rainbow Blvd Ste 108, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 5915 S Rainbow Blvd Ste 108, Las Vegas, Nevada |
| Phone Number | 7022277959 |
| Fax Number | 7022276344 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417114166 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 5915 S Rainbow Blvd Ste 108 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891182558 |
| Phone Number | 7022277959 |
| Fax Number | 7022276344 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1417114166 | NV | -- |
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