Organization
FLAMINGO PECOS SURGERY LLC
Active
Other names
Surgery Center of Southern Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W. BARNES (ADMINISTRATOR)
(702) 868-2796
Entity
Organization
Contact information
Practice address
4275 BURNHAM AVE, SUITE 101, LAS VEGAS, NV 89119-5488
(702) 933-8088
(702) 933-5040
Mailing address
2110 E FLAMINGO RD, SUITE 109, LAS VEGAS, NV 89119-5190
(702) 868-2796
(702) 650-5099
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500440
—
NV
Enumeration date
10/11/2006
Last updated
05/11/2011
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