Organization
SOUTHWEST LITHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J CONLEY (PRESIDENT)
(239) 260-3137
Entity
Organization
Contact information
Practice address
9300 W SUNSET RD, LAS VEGAS, NV 89148-4844
(239) 260-3136
(855) 335-4846
Mailing address
9010 STRADA STELL CT STE 103, NAPLES, FL 34109-4425
(239) 260-3136
(855) 335-4846
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
NV20151482876
NV
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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