Surgical Center At Tenaya Lp

NPI 1104883248 - Clinic/Center - 261QA1903X

NPI Details
NPI 1104883248
Enumeration Date 05/01/2006
Last Updated 05/01/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD L RICHARD
Position VP/SECRETARY
Phone (705) 952-3610
Fax
Practice Location
2650 N TENAYA WAY
LAS VEGAS NV, 89128-1102, US
Phone (705) 952-3610
Fax
Business Location
2650 N TENAYA WAY
LAS VEGAS NV, 89128-1102, US
Phone (705) 952-3610
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State Nevada
License Number 3167ASC-6
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According to our database, Surgical Center At Tenaya Lp NPI is 1104883248, taxonomy code is 261QA1903X and license number is 3167ASC-6, license state is located at Nevada. Surgical Center At Tenaya Lp physically located at 2650 N Tenaya Way, Las Vegas NV, 89128-1102. NPI Number 1033115704 has the healthcare provider type.

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1104883248 NPI number is provided on an as is basis without warranty of any kind. 1104883248 is maintained by the National Plan & Provider Enumeration System. The contents of Surgical Center At Tenaya Lp are for informational purposes only.