Organization
SWCC, INC.
Active
Parent organization
SWCC, INC.
Other names
Surgical Weight Control Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SWCC, INC.
Authorized official
DONALD TICE D.O. (DIRECTOR)
(702) 313-8446
Entity
Organization
Contact information
Practice address
3802 MEADOWS LN, LAS VEGAS, NV 89107-3112
(702) 313-8446
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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