Spc Capital Llc

NPI 1194775403 - Clinic/Center - 261QA1903X

NPI Details
NPI 1194775403
Enumeration Date 05/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JERRY JERRY
Position ADMINISTRATOR
Phone (702) 633-0253
Fax (702) 633-0334
Practice Location
1569 E FLAMINGO RD
LAS VEGAS NV, 89119-5131, US
Phone (702) 633-0253
Fax (702) 633-0334
Business Location
1569 E FLAMINGO RD
LAS VEGAS NV, 89119-5131, US
Phone (702) 633-0253
Fax (702) 633-0334
Toxanomy
Taxonomy Code 261QA1903X
License State Nevada
License Number 4388ASC-0
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According to our database, Spc Capital Llc NPI is 1194775403, taxonomy code is 261QA1903X and license number is 4388ASC-0, license state is located at Nevada. Spc Capital Llc physically located at 1569 E Flamingo Rd, Las Vegas NV, 89119-5131. NPI Number 1033115704 has the healthcare provider type.

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1194775403 NPI number is provided on an as is basis without warranty of any kind. 1194775403 is maintained by the National Plan & Provider Enumeration System. The contents of Spc Capital Llc are for informational purposes only.