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Organization
SOUTHWEST MEDICAL ASSOCIATES INC.
Active
Organization
SOUTHWEST MEDICAL ASSOCIATES INC.
Active
Other names
Southwest Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (MEDICAL STAFF MANAGER)
(702) 480-2550
Entity
Organization
Contact information
Practice address
2450 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2179
(702) 877-8660
(702) 258-1322
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
29C0001000
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004602868
—
NV
Enumeration date
10/24/2006
Last updated
01/09/2024
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