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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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