Flamingo Pecos Surgery Llc

NPI 1790873966 - Clinic/Center - 261QA1903X

NPI Details
NPI 1790873966
Enumeration Date 10/11/2006
Last Updated 05/11/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT W. ROBERT
Position ADMINISTRATOR
Phone (702) 933-8088
Fax (702) 933-5040
Practice Location
4275 BURNHAM AVE
SUITE 101
LAS VEGAS NV, 89119-5488, US
Phone (702) 933-8088
Fax (702) 933-5040
Business Location
2110 E FLAMINGO RD
SUITE 109
LAS VEGAS NV, 89119-5190, US
Phone (702) 868-2796
Fax (702) 650-5099
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Flamingo Pecos Surgery Llc NPI is 1790873966, taxonomy code is 261QA1903X Flamingo Pecos Surgery Llc physically located at 4275 Burnham Ave, Las Vegas NV, 89119-5488. NPI Number 1033115704 has the healthcare provider type.

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1790873966 NPI number is provided on an as is basis without warranty of any kind. 1790873966 is maintained by the National Plan & Provider Enumeration System. The contents of Flamingo Pecos Surgery Llc are for informational purposes only.