Organization
NEVADA SURGICAL SPECIALISTS LLC
Active
Parent organization
NEVADA SURGICAL SPECIALISTS LLC
Other names
NEVADA SURGICAL SPECIALISTS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA SURGICAL SPECIALISTS LLC
Authorized official
DR. LARRY D. DENNY M.D. (DOCTOR)
(702) 254-3939
Entity
Organization
Contact information
Practice address
3570 E FLAMINGO ROAD, LAS VEGAS, NV 89121-5000
(702) 454-3400
(702) 454-7185
Mailing address
3570 E FLAMINGO ROAD, LAS VEGAS, NV 89121-5000
(702) 454-3400
(702) 454-7185
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
05906R
LA
174400000X
Specialist
G2126
TX
174400000X
Specialist
NV5503
NV
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
5503
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002847
—
NV
01
—
01240039
AMERIGROUP
NV
Enumeration date
12/05/2007
Last updated
05/17/2012
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