Organization
WILDCREEK SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K. DEVRIES O.D. (OWNER)
(775) 674-1110
Entity
Organization
Contact information
Practice address
2285 GREEN VISTA DR, SPARKS, NV 89431-8532
(775) 674-1110
(775) 674-1114
Mailing address
2285 GREEN VISTA DR, SPARKS, NV 89431-8532
(775) 674-1110
(775) 674-1114
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1830ASC-8
NV
Other
Enumeration date
03/21/2006
Last updated
08/22/2020
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