# GREEN VALLEY ANESTHESIA SERVICES

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

## Provider details

- **NPI number:** 1710179940
- **Authorized official:** MR. GEORGE H COX CRNA (MANAGING PARTNER)
- **Authorized official phone:** (702) 227-3072

## Contact information

- **Practice address:** 3560 E FLAMINGO RD, SUITE 105, LAS VEGAS, NV 89121-5044
- **Practice address phone:** (702) 454-8712
- **Mailing address:** 8845 ZURICH CT, LAS VEGAS, NV 89147-8100

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2007
- **Last updated:** 01/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | V101876 | MEDICARE GROUP | NV |