# WOODWARD AVE., LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba Innovative Procedural and Surgical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568752202
- **Authorized official:** MR. MATT PAXTON (MANAGER)
- **Authorized official phone:** (702) 316-2281

## Contact information

- **Practice address:** 9920 W CHEYENNE AVE, SUITE 120, LAS VEGAS, NV 89129-7725
- **Practice address phone:** (702) 316-2281
- **Mailing address:** 9920 W CHEYENNE AVE, SUITE 120, LAS VEGAS, NV 89129-7725

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2011
- **Last updated:** 04/14/2011