Organization
CORONADO SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA TRIBBLE RN, CNOR (ADMINISTRATOR/DON)
(702) 589-9250
Entity
Organization
Contact information
Practice address
2779 W HORIZON RIDGE PKWY, SUITE 140, HENDERSON, NV 89052-4184
(702) 589-9250
(702) 589-9257
Mailing address
2779 W HORIZON RIDGE PKWY, SUITE 140, HENDERSON, NV 89052-4184
(702) 589-9250
(702) 589-9257
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
5381ASC-0
NV
Other
Enumeration date
05/11/2009
Last updated
05/10/2019
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