# SCDI SURGERY CENTER

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

## Provider details

- **NPI number:** 1578749917
- **Authorized official:** DR. BRET BLACKHART M.D. (OWNER)
- **Authorized official phone:** (775) 324-0699

## Contact information

- **Practice address:** 3950 G S RICHARDS BLVD, CARSON CITY, NV 89703
- **Practice address phone:** (775) 882-8777
- **Practice address fax:** (775) 888-8062
- **Mailing address:** 640 W MOANA LN STE 2, RENO, NV 89509-4857
- **Mailing address phone:** (775) 324-0699
- **Mailing address fax:** (775) 323-6814

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 01/16/2008