Organization
SURGERY NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM P. DOUGLAS (BILLING MANAGER)
(775) 284-1643
Entity
Organization
Contact information
Practice address
5560 KIETZKE LN, RENO, NV 89511-3019
(775) 284-1638
Mailing address
5560 KIETZKE LN, RENO, NV 89511-3019
(775) 284-1638
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
05/04/2022
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