# SCCN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Synergy Cancer Center of Nevada
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821418807
- **Authorized official:** GINGER SPANN (CREDENTIALING/COMPLIANCE MANAGER)
- **Authorized official phone:** (205) 366-9740

## Contact information

- **Practice address:** 3150 N TENAYA WAY, SUITE 510, LAS VEGAS, NV 89128-0443
- **Practice address phone:** (702) 800-5055
- **Practice address fax:** (702) 425-9794
- **Mailing address:** 3150 N TENAYA WAY, SUITE 510, LAS VEGAS, NV 89128-0443
- **Mailing address phone:** (702) 800-5055
- **Mailing address fax:** (702) 425-9794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 04/17/2014
- **Last updated:** 04/17/2014