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Organization

SPECIALTY SURGERY CENTER OF PECOS, LLC

Active
Other names
Outpatient Surgical Center of Flamingo
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG FOREMAN D.C., R.N. (ADMINISTRATOR)
(702) 370-7149
Entity
Organization

Contact information

Practice address
1569 E FLAMINGO RD, LAS VEGAS, NV 89119-5277
(702) 370-7149
Mailing address
1569 E FLAMINGO RD, LAS VEGAS, NV 89119-5277
(702) 370-7149

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
01/19/2009
Last updated
05/07/2009
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