Organization
WALANT ASC LLC
Active
Organization
WALANT ASC LLC
Active
Other names
Wide Awake Center for Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN JORDAN MICEV MD (MANAGER)
(702) 798-8585
Entity
Organization
Contact information
Practice address
8585 S EASTERN AVE, LAS VEGAS, NV 89123-2817
(702) 798-8585
Mailing address
8585 S EASTERN AVE, LAS VEGAS, NV 89123-2817
(702) 798-8585
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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