Organization
ONSYTE SURGICAL OF NEVADA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R BLOCKER M.D. (VICE-PRESIDENT)
(801) 564-3368
Entity
Organization
Contact information
Practice address
1262 S 650 W SUITE 1D, FARMINGTON, UT 84025
(844) 466-7983
(844) 332-5038
Mailing address
1262 S 650 W STE 1D, FARMINGTON, UT 84025-4606
(844) 466-7983
(844) 332-5038
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NV20141489275
NV
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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