Organization
EAR NOSE THROAT SURGERY CENTER
Active
Other names
EAR NOSE THROAT SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA C MADRID (BILLING MANAGER)
(702) 209-3377
Entity
Organization
Contact information
Practice address
8840 W SUNSET RD STE B, LAS VEGAS, NV 89148-4897
(702) 209-3377
Mailing address
8840 W SUNSET RD STE B, LAS VEGAS, NV 89148-4897
(702) 209-3377
(702) 209-3369
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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