Organization
BOX CANYON SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT L WELLISH M.D. (PRESIDENT)
(702) 733-2020
Entity
Organization
Contact information
Practice address
2555 BOX CANYON DR, LAS VEGAS, NV 89128
(702) 733-2020
(702) 734-8748
Mailing address
2110 E FLAMINGO RD, SUITE 210, LAS VEGAS, NV 89119-5190
(702) 733-2020
(702) 734-8748
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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