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Organization
CORONADO SURGICAL RECOVERY SUITES
Active
Organization
CORONADO SURGICAL RECOVERY SUITES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES CROVETTI JR. D.O. (OWNER)
(702) 990-2290
Entity
Organization
Contact information
Practice address
2779 W HORIZON RIDGE PKWY, STE 130, HENDERSON, NV 89052-4184
(702) 589-4975
Mailing address
2779 W HORIZON RIDGE PKWY, STE 130, HENDERSON, NV 89052-4184
(702) 589-4975
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
NV20101218573
NV
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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