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Organization
EAR NOSE THROAT SURGERY CENTER
Active
Organization
EAR NOSE THROAT SURGERY CENTER
Active
Other names
EAR NOSE THROAT SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA C MADRID (BILLING MANAGER)
(702) 209-3377
Entity
Organization
Contact information
Practice address
8840 W SUNSET RD STE B, LAS VEGAS, NV 89148-4897
(702) 209-3377
Mailing address
8840 W SUNSET RD STE B, LAS VEGAS, NV 89148-4897
(702) 209-3377
(702) 209-3369
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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