Organization
GREEN VALLEY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GRIM (CREDENTIALING SPECIALIST)
(702) 202-4776
Entity
Organization
Contact information
Practice address
7365 S PECOS RD, LAS VEGAS, NV 89120-3768
(702) 857-6500
(702) 857-6501
Mailing address
50 S STEPHANIE ST STE 101, HENDERSON, NV 89012-5731
(702) 202-4776
(702) 202-6110
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
03/29/2023
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