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Organization
FLAMINGO PECOS SURGERY LLC
Active
Organization
FLAMINGO PECOS SURGERY LLC
Active
Other names
Surgery Center of Southern Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W. BARNES (ADMINISTRATOR)
(702) 868-2796
Entity
Organization
Contact information
Practice address
4275 BURNHAM AVE, SUITE 101, LAS VEGAS, NV 89119-5488
(702) 933-8088
(702) 933-5040
Mailing address
2110 E FLAMINGO RD, SUITE 109, LAS VEGAS, NV 89119-5190
(702) 868-2796
(702) 650-5099
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500440
—
NV
Enumeration date
10/11/2006
Last updated
05/11/2011
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