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SURGICAL CENTER AT TENAYA LP

Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical

Provider NPI: 1104883248

Organization Information:
Organization Name:  SURGICAL CENTER AT TENAYA LP
Organization is not Subpart
Authorized Official:  RICHARD L SHARFF  VP/SECRETARY  205-545-2572

Practice Location:
2650 N TENAYA WAY  LAS VEGAS, NV 89128-1102 US
Tel: 705-952-3610  Fax: --

Business Mailing Address:
2650 N TENAYA WAY  LAS VEGAS, NV 89128-1102 US
Tel: 705-952-3610  Fax: --

NPI Information:
NPI: 1104883248
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
NV3167ASC-6

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QA1903X

Type:

Classification:



Definition:



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