Organization
CENTENNIAL SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROY LANZKOWSKY M. D. (CEO)
(702) 839-1203
Entity
Organization
Contact information
Practice address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130-5286
(702) 839-1203
(702) 839-1301
Mailing address
4454 N DECATUR BLVD, LAS VEGAS, NV 89130-5286
(702) 839-1203
(702) 839-1301
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
3563ASC-6
NV
Other
Enumeration date
09/25/2007
Last updated
10/31/2007
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