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WILDCREEK SURGERY CENTER

Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical

Provider NPI: 1003875873

Organization Information:
Organization Name:  WILDCREEK SURGERY CENTER
Organization is not Subpart
Authorized Official:  DOUGLAS K. DEVRIES  OWNER  775-674-1110

Practice Location:
2285 GREEN VISTA DR  SPARKS, NV 89431-8532 US
Tel: 775-674-1110  Fax: 775-674-1114

Business Mailing Address:
2285 GREEN VISTA DR  SPARKS, NV 89431-8532 US
Tel: 775-674-1110  Fax: 775-674-1114

NPI Information:
NPI: 1003875873
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
NV1830ASC-8

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QA1903X

Type:

Classification:



Definition:



MEDICAL JOBS NV - Page 1

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