# BOX CANYON SURGERY CENTER LLC

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

## Provider details

- **NPI number:** 1306093604
- **Authorized official:** DR. KENT L WELLISH M.D. (PRESIDENT)
- **Authorized official phone:** (702) 733-2020

## Contact information

- **Practice address:** 2555 BOX CANYON DR, LAS VEGAS, NV 89128
- **Practice address phone:** (702) 733-2020
- **Practice address fax:** (702) 734-8748
- **Mailing address:** 2110 E FLAMINGO RD, SUITE 210, LAS VEGAS, NV 89119-5190
- **Mailing address phone:** (702) 733-2020
- **Mailing address fax:** (702) 734-8748

## Taxonomy

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

## Other

- **Enumeration date:** 08/19/2008
- **Last updated:** 08/19/2008