Organization
ASCENDIA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY FECELLOW BESS (PARTNER)
(770) 701-9590
Entity
Organization
Contact information
Practice address
769 VISCANIO PL, LAS VEGAS, NV 89138-7570
(770) 701-9590
(770) 701-9590
Mailing address
769 VISCANIO PL, LAS VEGAS, NV 89138-7570
(770) 701-9590
(770) 701-9590
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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