Organization
NEVADA BURN & RECONSTRUCTION COATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY COATES (CEO/PRESIDENT)
(702) 524-5392
Entity
Organization
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 961-7552
(702) 961-7555
Mailing address
PO BOX 211624, AUGUSTA, GA 30917-1624
(702) 961-7552
(702) 961-7555
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
08/07/2024
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