# CORONADO SURGERY CENTER

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

## Provider details

- **NPI number:** 1346427689
- **Authorized official:** MR. MICHAEL J CROVETTI JR. DO (OWNER)
- **Authorized official phone:** (702) 932-8368

## Contact information

- **Practice address:** 880 SEVEN HILLS DR STE 140, HENDERSON, NV 89052-4380
- **Practice address phone:** (702) 932-8368
- **Practice address fax:** (702) 932-8377
- **Mailing address:** 880 SEVEN HILLS DR STE 140, HENDERSON, NV 89052-4380
- **Mailing address phone:** (702) 932-8368
- **Mailing address fax:** (702) 932-8377

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 01/29/2008