# EZEANOLUE, MD, PRECISION SURGERY CENTER OF LAS VEGAS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Precision Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891185096
- **Authorized official:** DOLUE DAVID EZEANOLUE M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (702) 310-9110

## Contact information

- **Practice address:** 1701 BEARDEN DR, SUITE 202, LAS VEGAS, NV 89106-4189
- **Practice address phone:** (702) 310-9110
- **Practice address fax:** (702) 310-9114
- **Mailing address:** 1701 BEARDEN DR, SUITE 202, LAS VEGAS, NV 89106-4189
- **Mailing address phone:** (702) 310-9110
- **Mailing address fax:** (702) 310-9114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | NV20141278772 | NV | Yes |

## Other

- **Enumeration date:** 01/27/2015
- **Last updated:** 08/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | NV |