Organization
SHADOW MOUNTAIN SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID I MALITZ MD (OWNER)
(812) 421-2020
Entity
Organization
Contact information
Practice address
7135 W SAHARA AVE, LAS VEGAS, NV 89117-2828
(812) 421-2020
(812) 422-1189
Mailing address
7135 W SAHARA AVE, LAS VEGAS, NV 89117-2828
(812) 421-2020
(812) 422-1189
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2000044-426
NV
Other
Enumeration date
09/26/2006
Last updated
10/23/2007
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