# SURGERY NEVADA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225781891
- **Authorized official:** WILLIAM P. DOUGLAS (BILLING MANAGER)
- **Authorized official phone:** (775) 284-1643

## Contact information

- **Practice address:** 5560 KIETZKE LN, RENO, NV 89511-3019
- **Practice address phone:** (775) 284-1638
- **Mailing address:** 5560 KIETZKE LN, RENO, NV 89511-3019
- **Mailing address phone:** (775) 284-1638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2022
- **Last updated:** 05/04/2022