Organization
SPC CAPITAL LLC
Active
Other names
LAS VEGAS SPECIALTY SURGICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY HAWLEY (ADMINISTRATOR)
(702) 633-0253
Entity
Organization
Contact information
Practice address
1569 E FLAMINGO RD, LAS VEGAS, NV 89119-5131
(702) 633-0253
(702) 633-0334
Mailing address
1569 E FLAMINGO RD, LAS VEGAS, NV 89119-5131
(702) 633-0253
(702) 633-0334
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4388ASC-0
NV
Other
Enumeration date
05/10/2006
Last updated
08/22/2020
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