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Organization
WOODWARD AVE., LLC
Active
Organization
WOODWARD AVE., LLC
Active
Other names
dba Innovative Procedural and Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT PAXTON (MANAGER)
(702) 316-2281
Entity
Organization
Contact information
Practice address
9920 W CHEYENNE AVE, SUITE 120, LAS VEGAS, NV 89129-7725
(702) 316-2281
Mailing address
9920 W CHEYENNE AVE, SUITE 120, LAS VEGAS, NV 89129-7725
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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