Organization
QUEENSRIDGE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LERMA MBA, CASC (ADMINISTRATOR)
(702) 589-9250
Entity
Organization
Contact information
Practice address
10040 ALTA DRIVE, SUITE 210, LAS VEGAS, NV 89145
(702) 589-9250
(702) 589-9257
Mailing address
2779 W HORIZON RIDGE PKWY STE 140, HENDERSON, NV 89052-4186
(702) 589-9250
(702) 589-9257
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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