Organization
LV SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL FAJARDO MD (PRESIDENT)
(702) 855-0550
Entity
Organization
Contact information
Practice address
7315 S. PECOS RD., SUITE 103, LAS VEGAS, NV 89120
(702) 855-0550
(702) 855-0650
Mailing address
7315 S PECOS RD, SUITE 103, LAS VEGAS, NV 89120-3768
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
11/02/2016
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