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Organization
SPRING VALLEY SURGERY CENTER, LLC
Active
Organization
SPRING VALLEY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GODWIN O MADUKA M.D., PHARMD (MEDICAL DIRECTOR)
(702) 880-4193
Entity
Organization
Contact information
Practice address
3835 S. JONES BLVD, SUITE 103, LAS VEGAS, NV 89103-2283
(702) 227-4440
(702) 227-4386
Mailing address
PO BOX 30550, LAS VEGAS, NV 89173-0550
(702) 227-4440
(702) 227-4386
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
2000003 426
NV
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NV20011105262
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500333
—
NV
Enumeration date
12/11/2006
Last updated
04/12/2016
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