Organization
EAR NOSE AND THROAT SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS F MEAGHER RN (ADMINISTRATOR)
(702) 209-3377
Entity
Organization
Contact information
Practice address
8840 W. SUNSET RD, SUITE B, LAS VEGAS, NV 89148-4897
(702) 209-3377
Mailing address
8840 W. SUNSET RD., SUITE B, LAS VEGAS, NV 89148-4897
(702) 209-3377
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
05/22/2015
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